Provider Demographics
NPI:1225364938
Name:PETER W.T. HUI, M.D.,S.C.
Entity type:Organization
Organization Name:PETER W.T. HUI, M.D.,S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:W
Authorized Official - Last Name:HUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-530-0442
Mailing Address - Street 1:493 S YORK ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3944
Mailing Address - Country:US
Mailing Address - Phone:630-530-0442
Mailing Address - Fax:630-530-0572
Practice Address - Street 1:493 S YORK ST
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3944
Practice Address - Country:US
Practice Address - Phone:630-530-0442
Practice Address - Fax:630-530-0572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL042003236174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL245810Medicare PIN