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NPI Code Detail

MEDICARE: DRS JURCIK & HANTOS SC

MEDICARE: DRS JURCIK & HANTOS SC
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
12084N0400XNeurology Physician042006099IL

General Provider Information

NPI Number : 1871529057
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRS JURCIK & HANTOS SC
Provider Business Mailing Address
First Line : 1604 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3908
Country : US
Telephone Number : 847-541-4010
Fax Number : 847-541-0159
Provider Business Practice Location Address
First Line : 1604 N ARLINGTON HEIGHTS RD
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-3908
Country : US
Telephone Number : 847-541-4010
Fax Number : 847-541-0159
Authorized Official
Title or Position : MD
Name : LIVIA ERIKA HANTOS
Credential :
Telephone Number : 847-541-4010
Provider Enumeration Date : 06/23/2006
Last Update Date : 06/13/2024

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Directions to “DRS JURCIK & HANTOS SC ” Practice Location

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