JACK GLENN HUGULEY

CHICAGO, IL
NPI1649244336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085003674)
Additional Taxonomies364SE0003X Clinical Nurse Specialist, Emergency
(Licence: CA  PA16498)
Enumeration Date2006-02-17
Last Update Date2010-02-10
Business Address
-- JACK GLENN HUGULEY PA
811 SOUTH STATE STREET SUITEB
CHICAGO, IL 60605-0000
Phone number: 312-566-9510
Mailing Address
-- JACK GLENN HUGULEY PA
PO BOX 544 DEPT 5390
MILWAUKEE, WI 53201-0544
Phone number: 815-713-2600