Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038-009352 | IL |
N | 111NP0017X | Pediatric Chiropractor | 038-009352 | IL |
NPI | 1306965876 |
---|---|
Provider Name | Dr. Sean Devin Curry |
First Address | Evanston, IL 60202-1701 |
Second Address | Evanston, IL 60202-1701 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 22/01/2020 |