Provider Demographics
NPI:1528010188
Name:FUREY, WARREN W (MD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:W
Last Name:FUREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E HURON ST
Mailing Address - Street 2:#11-230
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3197
Mailing Address - Country:US
Mailing Address - Phone:312-642-6868
Mailing Address - Fax:312-642-2902
Practice Address - Street 1:201 E HURON ST
Practice Address - Street 2:#11-230
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3197
Practice Address - Country:US
Practice Address - Phone:312-642-6868
Practice Address - Fax:312-642-2902
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36037551207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01628446OtherBLUE CROSS BLUE SHIELD
IL036037551Medicaid
IL01628446OtherBLUE CROSS BLUE SHIELD