Provider Demographics
NPI:1104179852
Name:HURTADO, ARTURO
Entity Type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:
Last Name:HURTADO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:657 EAST GOLF ROAD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4071
Mailing Address - Country:US
Mailing Address - Phone:847-593-7077
Mailing Address - Fax:847-593-7056
Practice Address - Street 1:657 EAST GOLF ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4071
Practice Address - Country:US
Practice Address - Phone:847-593-7077
Practice Address - Fax:847-593-7056
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.005124104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker