Provider Demographics
NPI:1841215845
Name:MCHUGH, EDWARD PATRICK (MSW)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:PATRICK
Last Name:MCHUGH
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5757 S MADISON ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-8116
Mailing Address - Country:US
Mailing Address - Phone:708-246-8695
Mailing Address - Fax:
Practice Address - Street 1:5757 S MADISON ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-8116
Practice Address - Country:US
Practice Address - Phone:708-246-8695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0098771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical