Organization · Type 2 NPI

Life Forward Therapy

Clinic/Center · Chicago, IL

NPI number 1407650328 Active

Practice location

3502 N Wilton Ave # 1
Chicago, IL 60657-1742

Mailing address

1728 N Wood St Apt 1F
Chicago, IL 60622-1359

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1407650328

Life Forward Therapy's National Provider Identifier is 1407650328, issued on Apr 1, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 8, 2025.