Healthcare Provider Details

I. General information

NPI: 1780860627
Provider Name (Legal Business Name): HURLEY AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2008
Last Update Date: 01/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10855 S BELL AVE
CHICAGO IL
60643-3207
US

IV. Provider business mailing address

10855 S. BELL AVENUE
CHICAGO IL
60643
US

V. Phone/Fax

Practice location:
  • Phone: 773-729-9280
  • Fax: 773-881-3630
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIL

VIII. Authorized Official

Name: DONNA HURLEY
Title or Position: OWNER
Credential:
Phone: 773-729-9280