# FORUM HEALTH CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689625857
- **Authorized official:** MRS. JULIA KHOMUTOV RN (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (847) 897-9090

## Contact information

- **Practice address:** 900 SKOKIE BLVD, SUITE 230, NORTHBROOK, IL 60062-4012
- **Practice address phone:** (847) 897-9090
- **Practice address fax:** (847) 897-9090
- **Mailing address:** 900 SKOKIE BLVD, SUITE 230, NORTHBROOK, IL 60062-4012
- **Mailing address phone:** (847) 897-9090
- **Mailing address fax:** (847) 897-9090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010521 | IL | Yes |

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 11/07/2007