Provider Demographics
NPI:1245263169
Name:FURLONG, DENISE MOLINA (MD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MOLINA
Last Name:FURLONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7456 S STATE RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BEDFORD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60638-6623
Mailing Address - Country:US
Mailing Address - Phone:312-626-2244
Mailing Address - Fax:
Practice Address - Street 1:7456 S STATE RD
Practice Address - Street 2:SUITE 303
Practice Address - City:BEDFORD PARK
Practice Address - State:IL
Practice Address - Zip Code:60638-6623
Practice Address - Country:US
Practice Address - Phone:312-626-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361107372088F0040X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088F0040XAllopathic & Osteopathic PhysiciansUrologyUrogynecology and Reconstructive Pelvic Surgery
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036110737Medicaid
IL036110737Medicaid
ILIL6503005Medicare PIN
ILIL6502005Medicare PIN