Active NPI
Shirley Ann Hurley
- Driver
- Chicago, IL
National Provider Identifier
1659812782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- H64078060753
- Practice address
- 6817 N Ridge Blvd Apt 2
Apt 2
Chicago, IL 60645-4916 - Phone
- (773) 962-8538
- NPI assigned
- Mar 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | H64078060753 | IL | Primary |
Addresses
Primary practice location
6817 N Ridge Blvd Apt 2
Apt 2
Chicago, IL 60645-4916
Mailing address
6817 N Ridge Blvd
Apt 2
Chicago, IL 60645-4916
Phone (773) 962-8538
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H64078060753 | IL | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1659812782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6817 N RIDGE BLVD",
"address_2": "APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606454916",
"telephone_number": "773-962-8538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6817 N RIDGE BLVD APT 2",
"address_2": "APT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606454916",
"telephone_number": "773-962-8538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURLEY",
"first_name": "SHIRLEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-08",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "IL",
"license": "H64078060753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.