Individual
NICHOLAS FURIASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
351 DELNOR DR, GENEVA, IL 60134-4220
(630) 232-0280
(630) 232-3895
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036127210
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE GROUP
IL
01
—
F400392431
MEDICARE INDIVIDUAL
IL
Enumeration date
08/09/2008
Last updated
03/17/2018
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