| NPI | 1295754190 |
|---|---|
| Other Name | FORWARD, P.C. OF ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | CARLOS A. PLAZAS President 773-862-4675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IL 071-002365) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-06-25 |