Provider Demographics
NPI:1669804498
Name:HUMMEL, M.D. & ASSOCIATES, LIMITED
Entity type:Organization
Organization Name:HUMMEL, M.D. & ASSOCIATES, LIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HUMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-513-9015
Mailing Address - Street 1:850 E HIGGINS RD
Mailing Address - Street 2:SUITE 125J
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5142
Mailing Address - Country:US
Mailing Address - Phone:847-513-9015
Mailing Address - Fax:847-496-3256
Practice Address - Street 1:850 E HIGGINS RD
Practice Address - Street 2:SUITE 125J
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5142
Practice Address - Country:US
Practice Address - Phone:847-513-9015
Practice Address - Fax:847-496-3256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-03
Last Update Date:2013-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.122356174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty