Provider Demographics
NPI:1871559336
Name:TUROK, DAVID I (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:I
Last Name:TUROK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3865 N MULFORD RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61114-5603
Mailing Address - Country:US
Mailing Address - Phone:815-399-2190
Mailing Address - Fax:815-399-5543
Practice Address - Street 1:3865 N MULFORD RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61114-5603
Practice Address - Country:US
Practice Address - Phone:815-399-2190
Practice Address - Fax:815-399-5543
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0986794207W00000X
GA37714207W00000X
FLME0067701207W00000X, 2082S0099X
AL181150207W00000X, 2082S0099X
IL03-60967942082S0099X
FL377142082S0099X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36-2534711OtherFEDRAL TAX ID
ILL94368Medicare ID - Type Unspecified
ILF28420Medicare UPIN
ILP00002399Medicare PIN
ILK35310Medicare PIN
ILL94367Medicare ID - Type Unspecified