Individual
DR. TERESA SURIANO FUHRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
120 E OGDEN, SUITE 220 HERITAGE PROFESSIONAL ASSOCIATES, HINSDALE, IL 60558-3546
(630) 325-5300
(630) 325-5309
Mailing address
120 E OGDEN, SUITE 220 HERITAGE PROFESSIONAL ASSOCIATES, HINSDALE, IL 60558-3546
(630) 325-5300
(630) 325-5309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215636
BCBS
IL
Enumeration date
12/13/2006
Last updated
07/08/2007
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