Individual
DR. JOHN M FURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 E LAKE SHORE DR, DECATUR, IL 62521-3810
(217) 464-2729
(217) 464-1693
Mailing address
PO BOX 25288, DECATUR, IL 62525-5288
(800) 444-6110
(866) 642-1525
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01035280A
IN
207L00000X
Anesthesiology Physician
036-098884
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
01035280A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
036-098884
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036098884
IL
208600000X
Surgery Physician
01035280A
IN
208600000X
Surgery Physician
036-098884
IL
208VP0014X
Interventional Pain Medicine Physician
Primary
036-098884
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036098884
BCBS
IL
05
—
036098884
—
IL
Enumeration date
07/05/2005
Last updated
06/09/2023
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