Individual provider · Type 1 NPI

Amy Forshall

Student in an Organized Health Care Education/Training Program · Libertyville, IL

NPI number 1740944206 Active

Practice location

1113 S Milwaukee Ave Ste 104
Libertyville, IL 60048-3759

Call (847) 748-0341 Map

Fax (847) 367-5997

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1740944206

Amy Forshall's National Provider Identifier is 1740944206, issued on Oct 29, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Libertyville, IL. The record was last updated on Oct 29, 2021.