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Individual

VINNETTE THERESA FORDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
200 E CHESTNUT ST APT 1516, CHICAGO, IL 60611-2328
(859) 221-0275
Mailing address
200 E CHESTNUT ST, CHICAGO, IL 60611-2356
(859) 221-0275

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036163633
IL
207R00000X
Internal Medicine Physician
36273
KY
208M00000X
Hospitalist Physician
Primary
36273
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64026156
KY
Enumeration date
04/20/2006
Last updated
08/29/2025
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