Provider Demographics
NPI:1528044567
Name:FUREY, NANCY L (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:L
Last Name:FUREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:233 E ERIE ST
Mailing Address - Street 2:STE 204
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5938
Mailing Address - Country:US
Mailing Address - Phone:312-642-6868
Mailing Address - Fax:312-642-2902
Practice Address - Street 1:201 E HURON AVEUNE
Practice Address - Street 2:11-230
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2894
Practice Address - Country:US
Practice Address - Phone:312-642-6868
Practice Address - Fax:312-642-2902
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036037624207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036037624Medicaid
IL01628446OtherBLUE CROSS BLUE SHIELD
ILK48632Medicare PIN
ILD 12172Medicare UPIN