Furusho, Cissy K.
Furusho, Cissy K. is an individual health care provider with primary practice located at 4801 W Peterson Ave Ste 410, Chicago IL 60646-5713. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is her primary health care specialty. Furusho, Cissy K. can be contacted via phone (773) 545-0007.Contact Information
Primary practice address
4801 W Peterson Ave Ste 410
Chicago IL 60646-5713
Phone: (773) 545-0007
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois | |
| Dental Providers / Pediatric Dentistry | 1223P0221X | Illinois |
Profile Details
| NPI number | 1568516862 |
|---|---|
| LBN Legal business name | Furusho, Cissy K. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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