MEDICARE: DR. SHEILA C CURREN PHD, LCSW

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	149-002729	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0001632586	OTHER	IL	BC/BS PROVIDER ID

General Provider Information

NPI Number	:	1144269416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHEILA C CURREN PHD, LCSW

Provider Business Mailing Address
First Line	:	6024 N MAPLEWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4111
Country	:	US
Telephone Number	:	773-743-7976
Fax Number	:	773-745-0655

Provider Business Practice Location Address
First Line	:	6024 N MAPLEWOOD AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60659-4111
Country	:	US
Telephone Number	:	773-743-7976
Fax Number	:	773-745-0655

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

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/08/2007

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