Individual
FAITH A FURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12300 IL-47, HUNTLEY, IL 60142
(847) 669-7563
Mailing address
12300 S IL ROUTE 47, HUNTLEY, IL 60142-9634
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
049220302
IL
Other
Enumeration date
06/18/2019
Last updated
11/05/2019
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