Healthcare Provider Details

I. General information

NPI: 1740519198
Provider Name (Legal Business Name): OLIVIER LOUIS MARIE CURET PHD, NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 10/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3231 EUCLID AVE STE 400
BERWYN IL
60402-3472
US

IV. Provider business mailing address

125 S JEFFERSON ST UNIT 1806
CHICAGO IL
60661-3663
US

V. Phone/Fax

Practice location:
  • Phone: 708-783-0244
  • Fax: 708-783-0287
Mailing address:
  • Phone: 815-451-1320
  • Fax: 815-451-1320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209007516
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number209007516
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: