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Organization
M MICHAEL FORUTAN MD SC
Active
Organization
M MICHAEL FORUTAN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUCHER MICHAEL FORUTAN MD (OWNER)
(630) 717-7000
Entity
Organization
Contact information
Practice address
600 S WASHINGTON ST, STE 300, NAPERVILLE, IL 60540-6667
(630) 717-7000
(630) 717-7011
Mailing address
PO BOX 3911, LISLE, IL 60532-8911
(630) 717-7000
(630) 717-7011
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4029503
AETNA
—
01
—
P00182546
MEDICARE RR
—
Enumeration date
08/28/2006
Last updated
08/22/2020
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