Provider Demographics
NPI:1649508086
Name:CURRY, COLLEEN B (CD (DONA))
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:B
Last Name:CURRY
Suffix:
Gender:F
Credentials:CD (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1613 CIMARRON DR
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-2308
Mailing Address - Country:US
Mailing Address - Phone:708-351-0935
Mailing Address - Fax:
Practice Address - Street 1:1613 CIMARRON DR
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-2308
Practice Address - Country:US
Practice Address - Phone:708-351-0935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL6069374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula