Provider Demographics
NPI:1811056880
Name:HUGH, ALEXANDER CHIU-LIM (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:CHIU-LIM
Last Name:HUGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8743 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:IL
Mailing Address - Zip Code:60534-1061
Mailing Address - Country:US
Mailing Address - Phone:708-447-1220
Mailing Address - Fax:708-447-1347
Practice Address - Street 1:735 W 35TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-4481
Practice Address - Country:US
Practice Address - Phone:773-254-8977
Practice Address - Fax:773-254-8944
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL336019377207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3654710Medicaid
IL940800Medicare ID - Type Unspecified
ILD13258Medicare UPIN