Hurley, Thomas Richard

Hurley, Thomas Richard is an individual health care provider with primary practice located at 1890 Silver Cross Blvd , New Lenox IL 60451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Hurley, Thomas Richard can be contacted via phone (815) 723-4387.

Contact Information

Primary practice address
1890 Silver Cross Blvd New Lenox IL 60451
Phone: (815) 723-4387
Fax: (815) 723-4634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036-080115 Illinois

Profile Details

NPI number 1558418103
LBN Legal business name Hurley, Thomas Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Sep 4th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558418103 NPPES
Illinois Other 206147 MEDICARE (GROUP)
Illinois MEDICAID 036080115 MEDICARE (GROUP)
Illinois Other CA4748 MEDICARE (GROUP)
Illinois Other 206147202 MEDICARE (GROUP)

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