Doctor Name: | KIMBERLY C. FORGIE |
NPI Number: | 1063694727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 180-006511 |
Business Practice Address: | 1400 E Irving Park Rd Streamwood, IL - 601073201 |
Business Phone Number: | 6308379000 |
Business Fax Number: | 6307362750 |
Mailing Address: | 1400 E Irving Park Rd, STREAMWOOD |
State: | IL |
Postal Code: | 601073201 |
Phone Number: | 6308379000 |
Fax Number: | 6307362750 |
NPI Enumeration Date: | 12/04/2007 |
NPI Last Update Date: | 04/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180-006511 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |