Provider Demographics
NPI:1689073439
Name:HILL, KURT ANTHONY SR (LMT)
Entity Type:Individual
Prefix:MR
First Name:KURT
Middle Name:ANTHONY
Last Name:HILL
Suffix:SR
Gender:M
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:1 E SUPERIOR ST
Mailing Address - Street 2:STE 307
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-2507
Mailing Address - Country:US
Mailing Address - Phone:312-664-8376
Mailing Address - Fax:312-644-8417
Practice Address - Street 1:1 E SUPERIOR ST
Practice Address - Street 2:STE 307
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2507
Practice Address - Country:US
Practice Address - Phone:312-664-8376
Practice Address - Fax:312-644-8417
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL227006012225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist