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Individual

EDISON HURH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-7766
Mailing address
2029 W WALTON ST UNIT 2, CHICAGO, IL 60622-4961
(630) 822-4207

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/26/2025
Last updated
05/26/2025
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