Provider Demographics
NPI:1306222690
Name:FURMAN, ROMAN (PHARM D)
Entity type:Individual
Prefix:
First Name:ROMAN
Middle Name:
Last Name:FURMAN
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 W TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1910
Mailing Address - Country:US
Mailing Address - Phone:847-409-5968
Mailing Address - Fax:
Practice Address - Street 1:1701 N BUFFALO GROVE RD
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-6888
Practice Address - Country:US
Practice Address - Phone:847-955-9361
Practice Address - Fax:847-955-9365
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.298745183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist