Healthcare Provider Details

I. General information

NPI: 1013744887
Provider Name (Legal Business Name): FORTE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 09/17/2024
Certification Date: 09/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13525 E 23RD AVE
AURORA CO
80045-7450
US

IV. Provider business mailing address

PO BOX 55
WINNETKA IL
60093-0055
US

V. Phone/Fax

Practice location:
  • Phone: 630-981-7236
  • Fax:
Mailing address:
  • Phone: 630-981-7236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SHRUNALI RAI
Title or Position: CEO
Credential:
Phone: 630-981-7236