Individual
DR. MICHAEL GREGORY HURTUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2850 W 95TH ST, SUITE 306, EVERGREEN PARK, IL 60805-2735
(708) 422-8500
Mailing address
2800 W 95TH ST, BUSINESS DEVELOPMENT, 3N, EVERGREEN PARK, IL 60805-2701
(708) 229-5420
(708) 229-4209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036121842
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121842
—
IL
Enumeration date
08/14/2008
Last updated
07/15/2014
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