Active NPI
Joseph J. Furlin, M.D., S.C.
- Obstetrics & Gynecology Physician
- Melrose Park, IL
National Provider Identifier
1184898686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036102544
- Legal business name
- JOSEPH J. FURLIN, M.D., S.C.
- Practice address
- 675 W North Ave Ste 312
Melrose Park, IL 60160-1606 - Phone
- (708) 615-1100
- Fax
- (708) 615-1350
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph J. Furlin, M.D.
- Title
- President
- Phone
- (708) 615-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036102544 | IL | Primary |
Addresses
Primary practice location
675 W North Ave Ste 312
Melrose Park, IL 60160-1606
Mailing address
675 W North Ave Ste 312
Melrose Park, IL 60160-1606
Phone (708) 615-1100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01627414 | Other | IL | BCBS |
| 036102544 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
4614 W Diversey Ave
Ste A
Chicago, IL 60639
Phone (773) 725-2100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Nurse Practitioner
- Melrose Park, IL
- NPI 1528225463
-
- Physician Assistant
- Stillwater, MN
- NPI 1285949677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650844800000",
"number": "1184898686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 W NORTH AVE STE 312",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601606",
"telephone_number": "708-615-1100",
"fax_number": "708-615-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W NORTH AVE STE 312",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601606",
"telephone_number": "708-615-1100",
"fax_number": "708-615-1350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH J. FURLIN, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2022-04-25",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "FURLIN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-615-1100",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036102544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "01627414",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036102544",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.