Individual
JOHN HURLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2959
(219) 836-1600
Mailing address
11147 S FAIRFIELD AVE, CHICAGO, IL 60655-1929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209024977
IL
367500000X
Certified Registered Nurse Anesthetist
28255558A
IN
Other
Enumeration date
10/20/2020
Last updated
03/07/2024
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