Provider Demographics
NPI:1053454421
Name:CURPHEY, JOHN RAIRDON (MDIV,MA)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:RAIRDON
Last Name:CURPHEY
Suffix:
Gender:M
Credentials:MDIV,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 MERTON AVE
Mailing Address - Street 2:
Mailing Address - City:GLEN ELLYN
Mailing Address - State:IL
Mailing Address - Zip Code:60137-5204
Mailing Address - Country:US
Mailing Address - Phone:630-469-2007
Mailing Address - Fax:630-469-5025
Practice Address - Street 1:507 THORNHILL DR STE A
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2706
Practice Address - Country:US
Practice Address - Phone:630-752-9750
Practice Address - Fax:630-752-9768
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.000777106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist