| Forward Vision, Inc. | |
|
1525 E 53rd St Ste 425 Chicago IL 60615-4545 | |
| (312) 952-2006 | |
| Not Available |
| Full Name | Forward Vision, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1525 E 53rd St Ste 425, Chicago, Illinois |
| Authorized Official Name and Position | Adrienne L Dancy (CEO/FOUNDER) |
| Authorized Official Contact | 3129522006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Vision, Inc. 1525 E 53rd St Ste 425 Chicago IL 60615-4545 Ph: () - | Forward Vision, Inc. 1525 E 53rd St Ste 425 Chicago IL 60615-4545 Ph: (312) 952-2006 |
| NPI Number | 1194903583 |
|---|---|
| Provider Enumeration Date | 02/07/2008 |
| Last Update Date | 02/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194903583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 180003903 (Illinois) | Primary |
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