Provider Demographics
NPI:1316751894
Name:CUIRIZ, MARC ANTHONY (MA)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:ANTHONY
Last Name:CUIRIZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14513 SAMUEL ADAMS DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-4433
Mailing Address - Country:US
Mailing Address - Phone:630-270-9602
Mailing Address - Fax:
Practice Address - Street 1:815 N LARKIN AVE STE 205
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-3440
Practice Address - Country:US
Practice Address - Phone:708-789-5669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional