Organization Active NPI

Joseph J. Furlin, M.D., S.C.

  • Obstetrics & Gynecology Physician
  • Melrose Park, IL
National Provider Identifier
1184898686
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036102544 Issued in IL
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

Updated by the provider on Apr 25, 2022

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
01627414OtherILBCBS
036102544MedicaidIL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.