Michael Gregory Hurtuk, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

036121842 Issued in IL

Practice address

2850 W 95TH St
Suite 306
Evergreen Park, IL 60805-2735

Phone

(708) 422-8500

NPI assigned

Aug 14, 2008

Last updated

Jul 15, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Company of Mary Affiliated Services Inc

  dba Little Co of Mary Care Station

  • Urgent Care Clinic/Center
  • Oak Lawn, IL
  • NPI 1033162086
  Medicare reassignment NPD
• Little Company of Mary Affiliated Services Inc

  dba Little Co of Mary Affiliated

  • Internal Medicine Physician
  • Evergreen Park, IL
  • NPI 1588617260

  Surgery

  NPD
• Odonoghue & Rosenow, MDSC

  • Surgery Physician
  • Evergreen Park, IL
  • NPI 1083816565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1164678793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "address_2": "BUSINESS DEVELOPMENT, 3N",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052701",
            "telephone_number": "708-229-5420",
            "fax_number": "708-229-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "SUITE 306",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052735",
            "telephone_number": "708-422-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTUK",
        "first_name": "MICHAEL",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036121842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036121842",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Bierbaum Howard, M.D.
• Jessica Chentel Hudson
• Hugh Med Group Inc
• Hugh Medical Assoc
• Pauline Wong Hugh, M.D.
• Zahia-Lena Refat Hussien, PHARM D
• Penny Hutchinson, M.D.
• Hyacinth Home Health Inc.
• Joice Illimoottil, APN
• Giuseppina Francesca Impellizzeri, MA, LCPC, ATR

• Surgery Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.