Provider Demographics
NPI:1548596075
Name:FURLONG, HOLLY CHRISTINA (DC)
Entity Type:Individual
Prefix:DR
First Name:HOLLY
Middle Name:CHRISTINA
Last Name:FURLONG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 S MICHIGAN AVE
Mailing Address - Street 2:#1420
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-3357
Mailing Address - Country:US
Mailing Address - Phone:312-258-1338
Mailing Address - Fax:312-873-1115
Practice Address - Street 1:8 S MICHIGAN AVE
Practice Address - Street 2:#1420
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3357
Practice Address - Country:US
Practice Address - Phone:312-258-1338
Practice Address - Fax:312-873-1115
Is Sole Proprietor?:No
Enumeration Date:2009-10-17
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9841111N00000X
IL038012223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor