MEDICARE: DR. TIMOTHY RUSSELL MCCURRY M.D.

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	207Q00000X	Family Medicine Physician	036-071081	IL
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician	036-071081	IL
3	207QS0010X	Sports Medicine (Family Medicine) Physician	036-071081	IL
4	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	036-071081	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841202421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY RUSSELL MCCURRY M.D.

Provider Business Mailing Address
First Line	:	1550 BISHOP CT
Second Line	:
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-6039
Country	:	US
Telephone Number	:	847-685-9900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 BISHOP CT
Second Line	:
City	:	MT PROSPECT
State	:	IL
Zip	:	60056-6039
Country	:	US
Telephone Number	:	847-685-9900
Fax Number	:

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

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	02/14/2012

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Directions to “ DR. TIMOTHY RUSSELL MCCURRY M.D.” Practice Location

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