Ellen Hendrickson Kurczab

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2310 W Roosevelt Rd
Chicago, IL 60608-1131

Phone

(312) 618-8647

NPI assigned

Jun 29, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1477123727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 N LIEB AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081131",
            "telephone_number": "312-618-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURCZAB",
        "first_name": "ELLEN",
        "middle_name": "HENDRICKSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kuranishi
• Genevieve Grace Kurapaty, MD
• Steven Kurapaty, MD
• Edward Kuras, LCPC, MA
• Sandra L Kurby, MPH, RD, LDN
• Christine Margaret Kurczaba, PA-C, MMSC
• Farah Alexandra Kurdi-Villate, AM, LCSW
• Lucy Teresa Kurdziel Caron, DDS
• Kureas Counseling PLLC
• Julie Kurek

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.