Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | IL | |
N | 2251S0007X | Physical Therapist - Sports | IL | |
N | 2251X0800X | Physical Therapist - Orthopedic | IL |
NPI | 1144205139 |
---|---|
Provider Name | Mr. Eric Scott Furto |
First Address | Plainfield, IL 60584 |
Second Address | Orland Park, IL 60462-5852 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 19/03/2008 |