MEDICARE: DR. KARL STEPHEN FORGERON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	038008415	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1621984	OTHER	IL	BLUE CROSS/BLUE SHIELD OF ILLINOIS PROVIDER NUMBER

General Provider Information

NPI Number	:	1477522126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARL STEPHEN FORGERON D.C.

Provider Business Mailing Address
First Line	:	1732 W ALGONQUIN RD
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60192-1573
Country	:	US
Telephone Number	:	630-289-2225
Fax Number	:	630-429-9730

Provider Business Practice Location Address
First Line	:	1732 W ALGONQUIN RD
Second Line	:
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60192-1573
Country	:	US
Telephone Number	:	630-289-2225
Fax Number	:	630-429-9730

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	04/20/2022

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