Healthcare Provider Details

I. General information

NPI: 1740887157
Provider Name (Legal Business Name): FOREFRONT HEALTHCARE SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2020
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 E MONROE ST UNIT 3801
CHICAGO IL
60603-2751
US

IV. Provider business mailing address

60 E MONROE ST UNIT 3801
CHICAGO IL
60603-2751
US

V. Phone/Fax

Practice location:
  • Phone: 312-972-6017
  • Fax:
Mailing address:
  • Phone: 312-972-6017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ALI NEZAMABADI
Title or Position: CEO
Credential:
Phone: 312-972-6017