Individual
DR. SUSAN MARIE CURTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
9318 S KEDZIE AVE, SUITE #2, EVERGREEN PARK, IL 60805-2323
(773) 881-0108
(773) 253-2245
Mailing address
10917 S WASHTENAW AVE, CHICAGO, IL 60655-1821
(773) 881-0108
(773) 253-2245
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636651
BLUE CROSS BLUE SHIELD
IL
Enumeration date
02/12/2007
Last updated
04/11/2008
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