Emergency Medicine
ETHAN HUCKABEE DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1043705395 · enumerated 2018-06-28 · record updated 2024-06-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 405 W JACKSON ST, CARBONDALE, IL, 62901-1462 (618) 549-0721 Google Maps Apple Maps OpenStreetMap
- Mailing address 405 W JACKSON ST, CARBONDALE, IL, 62901-1462 (618) 549-0721 Fax (618) 457-0469 Google Maps Apple Maps OpenStreetMap
Specialties
- Emergency Medicine 207P00000X · License 5101026802 MI
- Student in an Organized Health Care Education/Training Program 390200000X · License 5101024216 MI
- Emergency Medicine 207P00000X · Primary · License 036162411 IL
In this directory
Locations and evidence
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Practice location
CARBONDALE, IL, 629011462
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.