MEDICARE: DR. THOMAS M CURRY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician		IL

General Provider Information

NPI Number	:	1194706903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS M CURRY MD

Provider Business Mailing Address
First Line	:	920 WEST ST
Second Line	:	SUITE 214
City	:	PERU
State	:	IL
Zip	:	61354-2763
Country	:	US
Telephone Number	:	815-223-0207
Fax Number	:	815-223-3987

Provider Business Practice Location Address
First Line	:	920 WEST ST
Second Line	:	SUITE 214
City	:	PERU
State	:	IL
Zip	:	61354-2763
Country	:	US
Telephone Number	:	815-223-0207
Fax Number	:	815-223-3987

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	07/08/2007

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