Healthcare Provider Details

I. General information

NPI: 1407867286
Provider Name (Legal Business Name): RONALD D. CURRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 05/09/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 FRANKLIN AVE STE 4500
NORMAL IL
61761-3593
US

IV. Provider business mailing address

611 W PARK ST FAPC
URBANA IL
61821-2500
US

V. Phone/Fax

Practice location:
  • Phone: 309-556-8300
  • Fax: 309-556-8293
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number036084457
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number036084457
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: