Provider Demographics
NPI:1659717221
Name:HUR, JENNIFER IN-HEE (MD)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:IN-HEE
Last Name:HUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2800 N SHERIDAN RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657
Mailing Address - Country:US
Mailing Address - Phone:773-281-7835
Mailing Address - Fax:773-281-8736
Practice Address - Street 1:2800 N SHERIDAN RD
Practice Address - Street 2:SUITE 101
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657
Practice Address - Country:US
Practice Address - Phone:773-281-7835
Practice Address - Fax:773-281-8736
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-22
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125-062613207Q00000X
IL036138422207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine