Provider Demographics
NPI:1467799247
Name:KURSA, EVA (NP-C)
Entity Type:Individual
Prefix:MS
First Name:EVA
Middle Name:
Last Name:KURSA
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:EVA
Other - Middle Name:
Other - Last Name:KURSA-JAWORSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:5304 W BARRY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-4938
Mailing Address - Country:US
Mailing Address - Phone:773-205-1070
Mailing Address - Fax:773-205-1070
Practice Address - Street 1:2233 W DIVISION ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-8151
Practice Address - Country:US
Practice Address - Phone:312-770-2000
Practice Address - Fax:312-770-3078
Is Sole Proprietor?:No
Enumeration Date:2013-01-14
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209007881363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health