Individual
DR. R SCOTT FURDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7447 W TALCOTT AVE STE 259, CHICAGO, IL 60631-3718
(773) 631-8329
(773) 631-8506
Mailing address
7447 W TALCOTT AVE STE 259, CHICAGO, IL 60631-3718
(773) 631-8329
(773) 631-8506
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004843
IL
103TC0700X
Clinical Psychologist
71004843
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01607654
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/11/2006
Last updated
08/14/2025
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