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NPI Code Detail

MEDICARE: CURRACKSON LEARNING CENTER

MEDICARE: CURRACKSON LEARNING CENTER
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1669023990
Entity Type Code : Organization
Provider Name (Legal Business Name) : CURRACKSON LEARNING CENTER
Provider Business Mailing Address
First Line : 4448 S PRAIRIE AVE STE 4
Second Line :
City : CHICAGO
State : IL
Zip : 60653-3208
Country : US
Telephone Number : 773-370-4499
Fax Number :
Provider Business Practice Location Address
First Line : 4448 S PRAIRIE AVE STE 4
Second Line :
City : CHICAGO
State : IL
Zip : 60653-3208
Country : US
Telephone Number : 773-370-4499
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : DR. KENNETH W CURRY JR.
Credential : EDUCATION
Telephone Number : 773-370-4499
Provider Enumeration Date : 09/27/2019
Last Update Date : 09/27/2019

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Directions to “CURRACKSON LEARNING CENTER ” Practice Location

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