Forner, Judi Kittle
Forner, Judi Kittle is an individual health care provider with primary practice located at 4309 W Medical Center Dr Ste A200 , Mchenry IL 60050. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Forner, Judi Kittle can be contacted via phone (815) 759-8070.Contact Information
Primary practice address
4309 W Medical Center Dr Ste A200
Mchenry IL 60050
Phone: (815) 759-8070
Fax: (815) 759-4931
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 364SA2200X | 209010514 | Illinois |
Profile Details
NPI number | 1194123679 |
---|---|
LBN Legal business name | Forner, Judi Kittle |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 15th, 2014 |
Last updated | Oct 19th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194123679 | NPPES |
Illinois | Other | 209010514 | STATE LICENSE |
Popular Providers
-
Benz, Cynthia Crocker
1415 Tulane Ave , New Orleans LA 70112-2600 -
Bray, Deborah
3851 Roger Brooke Dr Brooke Army Medical Center Mche-Qd/Credentials, Fort Sam Houston TX 78234-4501 -
Jones, Ann L.
1401 Harrodsburg Rd C100, Lexington KY 40504-3751 -
Gregoire, Annette Elizabeth
500 E. Veterans St. , Tomah WI 54660-3105 -
Alexander, Cinda L
801 Saint Marys Dr Ste 400, Evansville IN 47714-0524 -
Carswell, Sheena M
1010 Three Springs Blvd Ste 255 , Durango CO 81301-8296 -
Talbot, Kimberly L
2260 N Ridge Rd Ste 240 , Wichita KS 67205-1138 -
Mower-Wade, Donna
4745 Ogletown Stanton Rd Suite129, Newark DE 19713-2067