Healthcare Provider Details

I. General information

NPI: 1215045752
Provider Name (Legal Business Name): FORSTER COUNSELING AND PSYCHOLOGICAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 W BRYN MAWR AVE SUITE 101 BLDG B1
CHICAGO IL
60631-3570
US

IV. Provider business mailing address

8601 W BRYN MAWR AVE SUITE 101 BLDG B1
CHICAGO IL
60631-3570
US

V. Phone/Fax

Practice location:
  • Phone: 773-695-0900
  • Fax: 773-695-0700
Mailing address:
  • Phone: 773-695-0900
  • Fax: 773-695-0700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateIL

VIII. Authorized Official

Name: DR. CINDY JO FORSTER
Title or Position: OWNER/CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 773-695-0900