Vinnette Theresa Forde, MD | |
200 E Chestnut St Apt 1516, Chicago, IL 60611-2328 | |
(859) 221-0275 | |
Not Available |
Full Name | Vinnette Theresa Forde |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 200 E Chestnut St Apt 1516, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033174164 | NPI | - | NPPES |
64026156 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 36273 (Kentucky) | Secondary |
207R00000X | Internal Medicine | 036163633 (Illinois) | Secondary |
208M00000X | Hospitalist | 36273 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Olympia Fields & Chicago Heights | Olympia fields, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sound Physicians Of Illinois Llc | 1557533734 | 205 |
Entity Name | Sound Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
Mailing Address | Practice Location Address |
---|---|
Vinnette Theresa Forde, MD 200 E Chestnut St, Chicago, IL 60611-2356 Ph: (859) 221-0275 | Vinnette Theresa Forde, MD 200 E Chestnut St Apt 1516, Chicago, IL 60611-2328 Ph: (859) 221-0275 |
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