Individual
CAROL HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEMORIAL DR, ALTON, IL 62002-6722
(314) 434-0600
Mailing address
75 REMIT DRIVE, LOCKBOX 1876, CHICAGO, IL 60675-1876
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-041772
IL
207P00000X
Emergency Medicine Physician
30276
KY
207P00000X
Emergency Medicine Physician
Primary
R4135
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036041772
—
IL
05
—
1417974957
—
MO
05
—
208240515
—
MO
Enumeration date
07/17/2006
Last updated
03/01/2011
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