Individual provider · Type 1 NPI

Joanna Forberg, PA-C

Medical Physician Assistant · Chicago, IL

NPI number 1508192402 Active

Practice location

1611 W Harrison St, 550
Chicago, IL 60612-4861

Fax (312) 942-6225

Mailing address

1001 W Madison St Apt 312
Chicago, IL 60607-2072

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085.003624 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1508192402

Joanna Forberg, PA-C's National Provider Identifier is 1508192402, issued on Oct 27, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 28, 2014.