MEDICARE: CURAVITA LLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1902603467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CURAVITA LLC

Provider Business Mailing Address
First Line	:	1937 W 35TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1937 W 35TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1206
Country	:	US
Telephone Number	:	773-523-8014
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	DANIELA DITTMAR
Credential	:
Telephone Number	:	312-513-0170

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	04/10/2025

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Directions to “CURAVITA LLC ” Practice Location

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