Organization · Type 2 NPI

Forrest Family Practice Center LLC

Family Medicine Physician · Forrest, IL

NPI number 1104003086 Active

Practice location

122 E Wabash Ave
Forrest, IL 61741

Fax (815) 657-8717

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6 other providers at this address

NPI record

NPI: 1104003086
Entity type: Organization (Type 2)
Issued: Jan 23, 2008
Last updated: Jul 2, 2009
Status: Active
Subpart: Yes of Gibson Community Hospital Association

Other names

<unavail>
Forrest Family Practice LLC · doing business as

Authorized official

Dr. Benjamin E Brewer, MD
Owner
(815) 657-8707

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1104003086

Forrest Family Practice Center LLC's National Provider Identifier is 1104003086, issued on Jan 23, 2008. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Forrest, IL. The record was last updated on Jul 2, 2009.