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Organization
FORWARD, P.C.
Active
Organization
FORWARD, P.C.
Active
Other names
Forward, P.C. of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A. PLAZAS PH.D. (PRESIDENT)
(773) 862-4675
Entity
Organization
Contact information
Practice address
3265 W ARMITAGE AVE, CHICAGO, IL 60647-3759
(773) 862-4675
(773) 862-4685
Mailing address
3303 GROVE AVE, UNIT 604, BERWYN, IL 60402-3432
(708) 749-0540
(708) 749-0187
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071-002365
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
06/25/2020
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