MEDICARE: CHICAGO CURSEBREAKERS THERAPY, PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1134057177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO CURSEBREAKERS THERAPY, PLLC

Provider Business Mailing Address
First Line	:	3401 W DEVON AVE UNIT 59932
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-6034
Country	:	US
Telephone Number	:	919-523-3919
Fax Number	:

Provider Business Practice Location Address
First Line	:	3250 W HOLLYWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-3602
Country	:	US
Telephone Number	:	919-523-3919
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JULIANNE APRIL CLIFTON-MARQUEZ
Credential	:	LCSW
Telephone Number	:	919-523-3919

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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