Provider Demographics
NPI:1891310082
Name:CURTIN, ANDREA JANE
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:JANE
Last Name:CURTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1722 E 2100 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:STONINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:62567-5333
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1722 E 2100 NORTH RD
Practice Address - Street 2:
Practice Address - City:STONINGTON
Practice Address - State:IL
Practice Address - Zip Code:62567-5333
Practice Address - Country:US
Practice Address - Phone:217-827-5568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist