=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487331872
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CJC THERAPEUTIC CENTER, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/28/2023
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 134 W LAKE ST STE 100-10
-----------------------------------------------------
City | BLOOMINGDALE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60108-1003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-343-4009
-----------------------------------------------------
Fax | 630-480-6809
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 134 W LAKE ST STE 100-10
-----------------------------------------------------
City | BLOOMINGDALE
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60108-1003
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 630-343-4009
-----------------------------------------------------
Fax | 630-480-6809
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER & THERAPIST
-----------------------------------------------------
Name | MS. CARLA JEANNE CURTIS
-----------------------------------------------------
Credential | LCPC, CADC
-----------------------------------------------------
Telephone | 630-343-4009
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------