DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EDISON HURH

MEDICARE: EDISON HURH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1245023977
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDISON HURH
Provider Business Mailing Address
First Line : 2029 W WALTON ST UNIT 2
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4961
Country : US
Telephone Number : 630-822-4207
Fax Number :
Provider Business Practice Location Address
First Line : 2160 S 1ST AVE
Second Line :
City : MAYWOOD
State : IL
Zip : 60153-3328
Country : US
Telephone Number : 708-216-7766
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2025
Last Update Date : 05/26/2025

Similar Medicare Providers

1841511573 — RAGHU SHANTAN REDDY MARRI M.D.
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-9000
Practice Fax:
1265385520 — JACLYN KELLEY MSN, FNP-BC
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 847-650-3647
Practice Fax:
1457662942 — DR. DISHA MAHENDRA M.D.
Practice Location Address:
2160 S 1ST AVE , FAHEY BLDG ROOM 007
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-5118
Practice Fax:
1629659388 — JOHN LEVINSON
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 609-332-5438
Practice Fax:
1487966909 — DR. AQEEL MUHAMMAD M.D
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-9000
Practice Fax:
1306940705 — DR. STANLEY I KIM MD
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-9000
Practice Fax:
1457203515 — CHASE GORNBEIN
Practice Location Address:
2160 S 1ST AVE
MAYWOOD, IL
60153-3328
Practice Phone: 708-216-3229
Practice Fax:

Directions to “ EDISON HURH ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.