Provider Information for 1013245729
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Mr. ERIC G FORSTER LCSW
Sex: Male
NPI: 1013245729
Last Updated: 2009-11-19
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013245729 | ||||||||
| Enumeration Date | 2009-11-19 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6101 S. COUNTY LINE ROAD KING-BRUWAERT HOUSE BURR RIDGE, IL 60527-8132 United States Phone: 630-230-9527 | Fax: | ||||||||
| Primary Practice Address | 6101 S COUNTY LINE RD BURR RIDGE, IL 60527-8132 United States Phone: 630-230-9527 | Fax: | ||||||||
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