MEDICARE: MRS. FRANCINE L HURT DME

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
1	332B00000X	Durable Medical Equipment & Medical Supplies	1716890	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871518126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCINE L HURT DME

Provider Business Mailing Address
First Line	:	3301 W 63RD ST FL 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-3316
Country	:	US
Telephone Number	:	773-434-3780
Fax Number	:	773-434-2335

Provider Business Practice Location Address
First Line	:	3301 W 63RD ST FL 1
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60629-3316
Country	:	US
Telephone Number	:	773-434-3780
Fax Number	:	773-476-2335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	10/13/2010

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