Individual
JENNIFER LYNN KURTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(773) 301-7476
Mailing address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(773) 301-7476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036113283
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036113283
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036113283
ILLINOIS STATE LICENSE
IL
Enumeration date
01/16/2007
Last updated
02/11/2015
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