Provider Demographics
NPI:1124238720
Name:CURRY, KATHLEEN J (DDS)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:J
Last Name:CURRY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-2307
Mailing Address - Country:US
Mailing Address - Phone:847-491-1200
Mailing Address - Fax:847-491-1480
Practice Address - Street 1:823 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-2307
Practice Address - Country:US
Practice Address - Phone:847-491-1200
Practice Address - Fax:847-491-1480
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice