Individual
AMY FORSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 S MILWAUKEE AVE STE 104, LIBERTYVILLE, IL 60048-3759
(847) 748-0341
(847) 367-5997
Mailing address
1113 S MILWAUKEE AVE STE 104, LIBERTYVILLE, IL 60048-3759
(847) 748-0341
(847) 367-5997
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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