Provider Demographics
NPI:1942373709
Name:DR DONALD W. HUGAR, LTD.
Entity Type:Organization
Organization Name:DR DONALD W. HUGAR, LTD.
Other - Org Name:HUGAR FOOT & ANKLE SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:HUGAR
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:708-452-6100
Mailing Address - Street 1:1614 N HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-4302
Mailing Address - Country:US
Mailing Address - Phone:708-452-6100
Mailing Address - Fax:708-452-1614
Practice Address - Street 1:1614 N HARLEM AVE
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:IL
Practice Address - Zip Code:60707-4302
Practice Address - Country:US
Practice Address - Phone:708-452-6100
Practice Address - Fax:708-452-1614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL016002353213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILCL6451OtherRAIL ROAD MEDICARE
IL0060000059OtherBLUE CROSS
IL016002353Medicaid
ILCL6451OtherRAIL ROAD MEDICARE
IL0625990002Medicare NSC