Furiasse, John G

Furiasse, John G is an individual health care provider with primary practice located at 800 Biesterfield Rd Ste G01 Wimmer Building, Elk Grove Village IL 60007-3372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Furiasse, John G can be contacted via phone (847) 981-3680.

Contact Information

Primary practice address
800 Biesterfield Rd Ste G01 Wimmer Building Elk Grove Village IL 60007-3372
Fax: (847) 956-5122
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036066260 Illinois

Profile Details

NPI number 1063466167
LBN Legal business name Furiasse, John G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jan 29th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063466167 NPPES
Illinois Other IL6304014 MEDICARE PTAN LOC 16
Illinois Other IL6305014 MEDICARE PTAN LOC 16
Illinois Other P01013364 MEDICARE PTAN LOC 16
Illinois Other 1720371669 MEDICARE PTAN LOC 16

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