Provider Demographics
NPI:1144276072
Name:HU, RUO-QI (MD)
Entity type:Individual
Prefix:DR
First Name:RUO-QI
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 MEMORIAL DR
Mailing Address - Street 2:STE. 410
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-5372
Mailing Address - Country:US
Mailing Address - Phone:618-234-8246
Mailing Address - Fax:618-234-8271
Practice Address - Street 1:4550 MEMORIAL DR
Practice Address - Street 2:STE. 410
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62226-5372
Practice Address - Country:US
Practice Address - Phone:618-234-8246
Practice Address - Fax:618-234-8271
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036118151207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036118151Medicaid
IL036118151Medicaid
ILIL3521011Medicare PIN