Provider Demographics
NPI:1871881110
Name:HUML, MARIANNE (APN, RN)
Entity type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:
Last Name:HUML
Suffix:
Gender:F
Credentials:APN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 WEAVER PARKWAY, SUITE 201
Mailing Address - Street 2:CENTRAL DUPAGE HOSPITAL CANCER CENTER
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555
Mailing Address - Country:US
Mailing Address - Phone:630-352-5450
Mailing Address - Fax:
Practice Address - Street 1:4405 WEAVER PARKWAY, SUITE 201
Practice Address - Street 2:CENTRAL DUPAGE HOSPITAL CANCER CENTER
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555
Practice Address - Country:US
Practice Address - Phone:630-352-5450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041176723163W00000X
IL209005739364SX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SX0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistOncology
No163W00000XNursing Service ProvidersRegistered Nurse