Provider Demographics
NPI:1982701694
Name:HURSH, HESTER J (MD)
Entity Type:Individual
Prefix:
First Name:HESTER
Middle Name:J
Last Name:HURSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HESTER
Other - Middle Name:J
Other - Last Name:HURSH-CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:261 W BELVIDERE RD
Mailing Address - Street 2:
Mailing Address - City:GRAYSLAKE
Mailing Address - State:IL
Mailing Address - Zip Code:60030-2306
Mailing Address - Country:US
Mailing Address - Phone:708-224-9042
Mailing Address - Fax:
Practice Address - Street 1:261 W BELVIDERE RD
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2306
Practice Address - Country:US
Practice Address - Phone:708-224-9042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-039801207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1036200006Medicare UPIN