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Organization
4GCONCEPTS
Active
Organization
4GCONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD FORGUE NCC, LPC, QMHP (OWNER)
(708) 398-0608
Entity
Organization
Contact information
Practice address
2608 W 100TH ST, CHICAGO, IL 60655-1657
(773) 612-4784
Mailing address
2608 W 100TH ST, CHICAGO, IL 60655-1657
(773) 612-4784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/29/2023
Last updated
03/02/2026
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