Healthcare Provider Details

I. General information

NPI: 1861680050
Provider Name (Legal Business Name): H MICHAEL CURTIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2007
Last Update Date: 10/26/2021
Certification Date: 07/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 W DEVON AVE
CHICAGO IL
60660-1302
US

IV. Provider business mailing address

1300 W DEVON AVE
CHICAGO IL
60660-1302
US

V. Phone/Fax

Practice location:
  • Phone: 773-751-7850
  • Fax:
Mailing address:
  • Phone: 773-751-7850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036-119813
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: