Nicholas Forsythe LAT

NPI 1356542427 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1356542427
Gender Male
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2499 E JOLIET HWY
UNIT 112
NEW LENOX IL, 60451-2592, US
Phone (815) 462-9420
Fax (815) 462-9421
Business Location
25561 OCONNEL LN
MANHATTAN IL, 60442-6241, US
Phone
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State
License Number
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According to our database, Nicholas Forsythe LAT NPI is 1356542427, taxonomy code is 2255A2300X Nicholas Forsythe LAT physically located at 2499 E Joliet Hwy, New Lenox IL, 60451-2592. NPI Number Nicholas Forsythe LAT has the Individual type.

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1356542427 NPI number is provided on an as is basis without warranty of any kind. 1356542427 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas Forsythe LAT are for informational purposes only.