Healthcare Provider Details

I. General information

NPI: 1255476370
Provider Name (Legal Business Name): FOREST VIEW MEDICAL CENTER, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 S RIVER RD
DES PLAINES IL
60018-4103
US

IV. Provider business mailing address

PO BOX 681039
SCHAUMBURG IL
60168-1039
US

V. Phone/Fax

Practice location:
  • Phone: 847-375-1000
  • Fax:
Mailing address:
  • Phone: 847-255-7400
  • Fax: 847-398-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number7002793
License Number StateIL

VIII. Authorized Official

Name: TAMMY STERN
Title or Position: ASSISTANT ADMINISTRATOR
Credential:
Phone: 847-255-7400