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Individual

DR. JEFFREY EDWARD FORZLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
160 E WEND ST, SUITE E, LEMONT, IL 60439-4438
(630) 257-0550
(630) 257-0555
Mailing address
PO BOX 23, LEMONT, IL 60439-0023
(630) 257-0550
(630) 257-0555

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01682776
BCBS
IL
Enumeration date
02/25/2007
Last updated
11/20/2007
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