Individual ProviderDagmara FurgalNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address292 Brentwood Dr, Des Plaines, IL 60016-2424(224) 567-3076PECOS EnrollmentBased on the most recent information from CMS, provider Dagmara Furgal does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1710557335Provider TypeIndividualFull NameFurgal, DagmaraGenderFemaleSole ProprietorNoEnumeration Date6/26/2021Last Updated7/8/2021Contact InformationPractice LocationPractice Address292 Brentwood Dr, Des Plaines, IL 60016-2424Phone(224) 567-3076FaxUnlisted FaxMailing LocationMailing Address292 Brentwood Dr, Des Plaines, IL 60016-2424PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209.022840IllinoisCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense041.436978Illinois