Individual
CRAIG W FURRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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, DU QUOIN, IL 62832-5080
(618) 542-2129
(618) 542-2903
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036067057
IL
207Q00000X
Family Medicine Physician
036067057
IL
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036067057-3
—
IL
01
—
744481
MEDICARE NUMBER
IL
01
—
P00173490
IND # FOR NCP SO ILLINOIS
IL
Enumeration date
10/12/2005
Last updated
02/08/2017
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