MEDICARE: DR. MUNIRAH A CURTIS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	4301074120	MI

General Provider Information

NPI Number	:	1801836390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUNIRAH A CURTIS MD

Provider Business Mailing Address
First Line	:	2300 N CHILDRENS PLZ
Second Line	:	#152
City	:	CHICAGO
State	:	IL
Zip	:	60614-3363
Country	:	US
Telephone Number	:	773-880-6903
Fax Number	:

Provider Business Practice Location Address
First Line	:	25 N WINFIELD RD
Second Line	:
City	:	WINFIELD
State	:	IL
Zip	:	60190-1222
Country	:	US
Telephone Number	:	630-933-2350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	04/17/2008

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