Provider Demographics
NPI:1508375171
Name:CURNOCK, ALLISON (SSP)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:CURNOCK
Suffix:
Gender:F
Credentials:SSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:558 W ALDINE AVE APT 3N
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-3895
Mailing Address - Country:US
Mailing Address - Phone:630-373-0106
Mailing Address - Fax:
Practice Address - Street 1:3423 HOLLYWOOD AVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:IL
Practice Address - Zip Code:60513-1701
Practice Address - Country:US
Practice Address - Phone:708-447-2168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool