| Dr. Casey N. Foreman, Llc | |
|
1535 Lake Cook Rd Ste 502 Northbrook IL 60062-1454 | |
| (248) 229-1720 | |
| Not Available |
| Full Name | Dr. Casey N. Foreman, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1535 Lake Cook Rd Ste 502, Northbrook, Illinois |
| Authorized Official Name and Position | Casey Foreman (PRESIDENT/OWNER) |
| Authorized Official Contact | 2482291720 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Casey N. Foreman, Llc 50 Barnard Ln Highland Park IL 60035-5109 Ph: (248) 229-1720 | Dr. Casey N. Foreman, Llc 1535 Lake Cook Rd Ste 502 Northbrook IL 60062-1454 Ph: (248) 229-1720 |
| NPI Number | 1275031536 |
|---|---|
| Provider Enumeration Date | 01/31/2018 |
| Last Update Date | 01/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275031536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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