Provider Demographics
NPI:1619607967
Name:ASHRAF, FURRUKH
Entity Type:Individual
Prefix:DR
First Name:FURRUKH
Middle Name:
Last Name:ASHRAF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7129 W WRIGHT TER
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-2248
Mailing Address - Country:US
Mailing Address - Phone:847-331-7281
Mailing Address - Fax:
Practice Address - Street 1:307 S MILWAUKEE AVE STE 101
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-5035
Practice Address - Country:US
Practice Address - Phone:847-999-0010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.033717122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist