Individual
MR. ERIC FORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
715 INDIANA AVE, SAINT CHARLES, IL 60174-3135
(630) 390-8820
Mailing address
534 OLD HOWELL RD, GREENVILLE, SC 29615-2051
(864) 244-3626
(864) 244-6923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010633
IL
Other
Enumeration date
06/13/2019
Last updated
08/02/2019
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