MEDICARE: PETER W.T. HUI, M.D.,S.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	042003236	IL

General Provider Information

NPI Number	:	1225364938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER W.T. HUI, M.D.,S.C.

Provider Business Mailing Address
First Line	:	493 S YORK ST
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-3944
Country	:	US
Telephone Number	:	630-530-0442
Fax Number	:	630-530-0572

Provider Business Practice Location Address
First Line	:	493 S YORK ST
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-3944
Country	:	US
Telephone Number	:	630-530-0442
Fax Number	:	630-530-0572

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PETER W HUI
Credential	:	M.D.
Telephone Number	:	630-530-0442

Provider Enumeration Date	:	10/30/2009
Last Update Date	:	10/30/2009

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