MEDICARE: NANCY CUROTTO PSY.D

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	103TC0700X	Clinical Psychologist	071006167	IL

General Provider Information

NPI Number	:	1144335571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY CUROTTO PSY.D

Provider Business Mailing Address
First Line	:	655 W IRVING PARK RD
Second Line	:	SUITE 201
City	:	CHICAGO
State	:	IL
Zip	:	60613-3123
Country	:	US
Telephone Number	:	312-409-7182
Fax Number	:	888-972-9742

Provider Business Practice Location Address
First Line	:	655 W IRVING PARK RD
Second Line	:	SUITE 201
City	:	CHICAGO
State	:	IL
Zip	:	60613-3123
Country	:	US
Telephone Number	:	312-409-7182
Fax Number	:	888-972-9742

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	09/13/2016

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