NPI 1003092388

Dr Forecki and Associates, LTD

Organisation Point of Service Northlake, IL

Practice location

Address: 137 W North Ave, Northlake, IL 60164-2316
Phone: (239) 229-6423
Mailing address: 13326 Island Rd, Fort Myers, FL 33905-1805

Authorised official

Name: Diane G Forecki
Title: Optometrist/President
Phone: (239) 229-6423

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 046-007557 (IL)

Other Point of Service providers in Illinois →

Registry record

NPI: 1003092388
Entity type: Organization
NPI issued: 16 Jan 2008
Record last updated: 1 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.