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Individual

DR. FORREST FRANK KOGUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
601 S ROUTE 59, INGLESIDE, IL 60041
(847) 587-8011
(847) 587-5469
Mailing address
601 S ROUTE 59, INGLESIDE, IL 60041
(847) 587-8011
(847) 587-5469

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3501
AZ
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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