Individual
DR. THOMAS RICHARD HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1890 SILVER CROSS BLVD, NEW LENOX, IL 60451
(815) 723-4387
(815) 723-4634
Mailing address
1890 SILVER CROSS BLVD, NEW LENOX, IL 60451-9518
(815) 723-4387
(815) 723-4634
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036-080115
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036080115
—
IL
01
—
206147
MEDICARE (GROUP)
IL
01
—
206147202
MEDICARE (INDIVIDUAL)
IL
01
—
CA4748
RAILROAD MEDICARE (INDIVIDUAL)
IL
Enumeration date
01/05/2007
Last updated
09/04/2018
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