Individual
DR. BRIAN FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612
(708) 236-2600
(708) 409-5179
Mailing address
1 WESTBROOK CORPORATE CTR STE 240, WESTCHESTER, IL 60154-5745
(708) 236-2600
(708) 409-5179
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
214314
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036-120879
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120879 2
—
IL
01
—
1633878
BCBS
IL
Enumeration date
02/15/2006
Last updated
08/03/2018
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