Provider Demographics
NPI:1184898686
Name:JOSEPH J. FURLIN, M.D., S.C.
Entity type:Organization
Organization Name:JOSEPH J. FURLIN, M.D., S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:FURLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-615-1100
Mailing Address - Street 1:675 W NORTH AVE STE 312
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-1606
Mailing Address - Country:US
Mailing Address - Phone:708-615-1100
Mailing Address - Fax:708-615-1350
Practice Address - Street 1:675 W NORTH AVE STE 312
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1606
Practice Address - Country:US
Practice Address - Phone:708-615-1100
Practice Address - Fax:708-615-1350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-15
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036102544207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01627414OtherBCBS
IL036102544Medicaid
IL01627414OtherBCBS
IL708000Medicare PIN