Organization
BRIAN M. FORBES, D. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M FORBES D.C. (OWNER)
(618) 797-2225
Entity
Organization
Contact information
Practice address
4700 NAMEOKI RD, GRANITE CITY, IL 62040-2524
(618) 797-2225
Mailing address
4700 NAMEOKI RD, GRANITE CITY, IL 62040-2524
(618) 797-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204779
MEDICARE ID - TYPE UNSPECIFIED
IL
01
—
387890
MEDICARE ID - TYPE UNSPECIFIED
IL
01
—
6007286
BLUE CROSS BLUE SHIELD
IL
01
—
P00217167
PALMETTO GBA-RR MEDICARE
IL
Enumeration date
02/05/2009
Last updated
02/05/2009
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