Provider Demographics
NPI:1669023990
Name:CURRACKSON LEARNING CENTER
Entity Type:Organization
Organization Name:CURRACKSON LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:CURRY
Authorized Official - Suffix:JR
Authorized Official - Credentials:EDUCATION
Authorized Official - Phone:773-370-4499
Mailing Address - Street 1:4448 S PRAIRIE AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-3208
Mailing Address - Country:US
Mailing Address - Phone:773-370-4499
Mailing Address - Fax:
Practice Address - Street 1:4448 S PRAIRIE AVE STE 4
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-3208
Practice Address - Country:US
Practice Address - Phone:773-370-4499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health