Healthcare Provider Details

I. General information

NPI: 1538083092
Provider Name (Legal Business Name): SOLOMIYA FURDAS DEKELAITA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOLOMIYA FURDAS

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2364 S ELMHURST RD
MT PROSPECT IL
60056-5805
US

IV. Provider business mailing address

10357 DEARLOVE RD APT 2F
GLENVIEW IL
60025-3646
US

V. Phone/Fax

Practice location:
  • Phone: 847-621-2287
  • Fax:
Mailing address:
  • Phone: 773-226-2245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019037342
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: