Healthcare Provider Details

I. General information

NPI: 1427979848
Provider Name (Legal Business Name): DANIEL C. HUROWITZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1064 W NORTH SHORE AVE APT 1W
CHICAGO IL
60626-4634
US

IV. Provider business mailing address

1064 W NORTH SHORE AVE APT 1W
CHICAGO IL
60626-4634
US

V. Phone/Fax

Practice location:
  • Phone: 339-222-0601
  • Fax:
Mailing address:
  • Phone: 339-222-0601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.517282
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: