Individual
MRS. LEAH GRACE FORESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CRNA
Contact information
Practice address
1725 W HARRISON ST, CHICAGO, IL 60612-3841
(312) 942-6333
Mailing address
838 W. DIVERSEY PARKWAY, UNIT 2W, CHICAGO, IL 60614
(312) 593-6857
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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