Organization
FORWARD, P.C.
Active
Other names
Forward, P.C. of Illinois
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A. PLAZAS PH.D. (PRESIDENT)
(773) 862-4675
Entity
Organization
Contact information
Practice address
3265 W ARMITAGE AVE, CHICAGO, IL 60647-3759
(773) 862-4675
(773) 862-4685
Mailing address
3303 GROVE AVE, UNIT 604, BERWYN, IL 60402-3432
(708) 749-0540
(708) 749-0187
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071-002365
IL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2006
Last updated
06/25/2020
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