Forman, Thomas Joseph

Forman, Thomas Joseph is an sole proprietor health care provider with primary practice located at 515 Thompson Ln , Lake Villa IL 60046-9040. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Forman, Thomas Joseph can be contacted via phone (847) 245-8346.

Contact Information

Primary practice address
515 Thompson Ln Lake Villa IL 60046-9040
Phone: (847) 245-8346
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1991388 Illinois

Profile Details

NPI number 1982373486
LBN Legal business name Forman, Thomas Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2021
Last updated Sep 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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