Individual
HEATHER LYNN FORYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5 E CUMBERLAND RD, ALTAMONT, IL 62411-1271
(618) 483-6151
(618) 483-6153
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
(217) 342-3400
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011417
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209011417
APN LICENSE
IL
Enumeration date
05/20/2014
Last updated
04/06/2023
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