Provider Demographics
NPI:1184610883
Name:FINNEY, THOMAS D (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:D
Last Name:FINNEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2522 E LINCOLNWAY
Mailing Address - Street 2:SUITE G
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081-3058
Mailing Address - Country:US
Mailing Address - Phone:815-626-6630
Mailing Address - Fax:815-626-6796
Practice Address - Street 1:2522 E LINCOLNWAY
Practice Address - Street 2:SUITE G
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-3058
Practice Address - Country:US
Practice Address - Phone:815-626-6630
Practice Address - Fax:815-626-6796
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038005428111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL038005428Medicaid
ILF400119780OtherMEDICARE PTAN
IL038005428Medicaid