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Andrea Kay Huber

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1901 W Harrison St, Chicago, IL 60612-3714

PECOS Enrollment

This provider is enrolled in PECOS as ANDREA HUBER.

Based on the most recent information from CMS, provider Andrea Kay Huber is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1295851251
Provider Type
Individual
Full Name
Huber, Andrea Kay
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
3/22/2007
Last Updated
4/26/2021

Contact Information

Practice Location

1901 W Harrison St, Chicago, IL 60612-3714

(312) 864-0600

Unlisted Fax

Mailing Location

18098 Semmler Ct, Tinley Park, IL 60477-8683

(708) 781-9192

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085-001322 Illinois

Andrea Kay Huber

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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O'Malley, James

Nguyen, Dayna

Boris, Abigail

Odgers, Kate

English, Alexandra Bess

Wolfinger, Richard Carl

Rogowski, Wendy Ann

Freeman, Taylar

Karuthalackal, Adai V