Provider Demographics
NPI:1447384888
Name:COURAGEOUS LIVING INC
Entity Type:Organization
Organization Name:COURAGEOUS LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:KRANZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:773-412-3722
Mailing Address - Street 1:1318 W WILSON AVE
Mailing Address - Street 2:UNIT 2A
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-6243
Mailing Address - Country:US
Mailing Address - Phone:773-412-3722
Mailing Address - Fax:773-506-2529
Practice Address - Street 1:1318 W WILSON AVE
Practice Address - Street 2:UNIT 2A
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-6243
Practice Address - Country:US
Practice Address - Phone:773-412-3722
Practice Address - Fax:773-506-2529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty