| Dr Michael Gregory Hurtuk, MD | |
|
2850 W 95th St, Suite 306, Evergreen Park, IL 60805-2735 | |
| (708) 422-8500 | |
| Not Available |
| Full Name | Dr Michael Gregory Hurtuk |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 2850 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164678793 | NPI | - | NPPES |
| 036121842 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036121842 (Illinois) | Primary |
| Entity Name | Little Company Of Mary Affiliated Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162086 PECOS PAC ID: 5193629202 Enrollment ID: O20040127000775 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Gregory Hurtuk, MD 2800 W 95th St, Business Development, 3n, Evergreen Park, IL 60805-2701 Ph: (708) 229-5420 | Dr Michael Gregory Hurtuk, MD 2850 W 95th St, Suite 306, Evergreen Park, IL 60805-2735 Ph: (708) 422-8500 |
Farhad Vossoughi, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 630-321-2710 | |
Dr. Abdul Haye Khan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2850 W 95th St, Suite 102, Evergreen Park, IL 60805 Phone: 708-636-4116 Fax: 708-636-5346 | |
Dr. David Shapiro, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 9125 S Pulaski Rd, Evergreen Park, IL 60805 Phone: 708-422-7715 Fax: 708-422-7816 | |
Michael R Fiorucci, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2850 W 95th St, Suite 306, Evergreen Park, IL 60805 Phone: 708-422-8500 Fax: 708-229-6081 |