Healthcare Provider Details

I. General information

NPI: 1851195622
Provider Name (Legal Business Name): SIERRA FUREY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2025
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4885 HOFFMAN BLVD STE 300
HOFFMAN ESTATES IL
60192-3727
US

IV. Provider business mailing address

4885 HOFFMAN BLVD STE 300
HOFFMAN ESTATES IL
60192-3727
US

V. Phone/Fax

Practice location:
  • Phone: 847-454-7828
  • Fax:
Mailing address:
  • Phone: 773-871-2188
  • Fax: 773-871-6353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019.036506
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: