Provider Demographics
NPI:1679636898
Name:FURLETT, CHRISTINE S (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:S
Last Name:FURLETT
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 1:335 W WISE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4064
Mailing Address - Country:US
Mailing Address - Phone:847-352-6776
Mailing Address - Fax:847-352-6777
Practice Address - Street 1:335 W WISE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-4064
Practice Address - Country:US
Practice Address - Phone:847-352-6776
Practice Address - Fax:847-352-6777
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38-4155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL710540Medicare ID - Type Unspecified