=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932482163
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CHRISTY K FUREY MD SC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/23/2011
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5600 WOLF RD SUITE 110
-----------------------------------------------------
City | WESTERN SPRINGS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60558-2254
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-246-4155
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5600 WOLF RD SUITE 110
-----------------------------------------------------
City | WESTERN SPRINGS
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60558-2254
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-246-4155
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. CHRISTY K FUREY
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 708-246-4155
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------