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Organization

CRAIG W. FURRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CRAIG W FURRY MD (OWNER)
(618) 542-2129
Entity
Organization

Contact information

Practice address
20 N WASHINGTON ST, SUITE 2, DU QUOIN, IL 62832-1403
(618) 542-2129
(618) 542-2903
Mailing address
PO BOX 1080, SUITE 2, DU QUOIN, IL 62832-5080
(618) 542-2129
(618) 542-2903

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
036067057
IL
261QR1300X
Rural Health Clinic/Center
Primary
036067057
IL

Other

Enumeration date
09/07/2007
Last updated
10/29/2009
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