Organization
AUDREY FORREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY FORREST (REGISTERED NURSE)
(773) 349-7559
Entity
Organization
Contact information
Practice address
7600 S PULASKI RD, CHICAGO, IL 60652-1286
(773) 838-5745
Mailing address
3121 W 71ST ST, CHICAGO, IL 60629-3003
(773) 349-7559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041319331
IL
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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