Provider Demographics
NPI:1992516538
Name:JUREK, BRITTANNY MARIE
Entity type:Individual
Prefix:
First Name:BRITTANNY
Middle Name:MARIE
Last Name:JUREK
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 1:17559 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:IN
Mailing Address - Zip Code:46356-7007
Mailing Address - Country:US
Mailing Address - Phone:708-846-5055
Mailing Address - Fax:
Practice Address - Street 1:7554 GRAND BLVD
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-6672
Practice Address - Country:US
Practice Address - Phone:219-501-1729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician