Provider Demographics
NPI:1073529335
Name:JEFFREY C. CURTIN, DO SC
Entity Type:Organization
Organization Name:JEFFREY C. CURTIN, DO SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:C
Authorized Official - Last Name:CURTIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-873-9367
Mailing Address - Street 1:7831 W 95TH ST STE W
Mailing Address - Street 2:
Mailing Address - City:HICKORY HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60457-2387
Mailing Address - Country:US
Mailing Address - Phone:847-873-9367
Mailing Address - Fax:224-246-8127
Practice Address - Street 1:7831 W 95TH ST STE W
Practice Address - Street 2:
Practice Address - City:HICKORY HILLS
Practice Address - State:IL
Practice Address - Zip Code:60457-2387
Practice Address - Country:US
Practice Address - Phone:847-873-9367
Practice Address - Fax:224-246-8127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2022-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360845682084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036084568OtherOTHER
IL036084568Medicaid
IL01622303OtherBC/BS PROVIDER #
IL130019675OtherRAILROAD MEDICARE #