Active NPI
Jean A Hurteau, MD
- Gynecologic Oncology Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 036106310
- Practice address
- 2650 Ridge Ave
Kellogg Cancer Center
Evanston, IL 60201 - Phone
- (847) 570-2639
- Fax
- (847) 733-5618
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036106310 | IL | |
| Gynecologic Oncology Physician | 207VX0201X | 036106310 | IL | Primary |
Addresses
Primary practice location
2650 Ridge Ave
Kellogg Cancer Center
Evanston, IL 60201
Mailing address
2650 Ridge Ave
Kellogg Cancer Center
Evanston, IL 60201-1718
Phone (847) 570-2639
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036106310 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Obstetrics & Gynecology | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| University Obstetricians-Gynecologists,Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Obstetrics & Gynecology
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1235177924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540512000000",
"number": "1801981584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "KELLOGG CANCER CENTER",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-2639",
"fax_number": "847-733-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "KELLOGG CANCER CENTER",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60201",
"telephone_number": "847-570-2639",
"fax_number": "847-733-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTEAU",
"first_name": "JEAN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2018-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036106310",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "IL",
"license": "036106310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; 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.