Individual
THOMAS JOSEPH FORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 THOMPSON LN, LAKE VILLA, IL 60046-9040
(847) 245-8346
Mailing address
515 THOMPSON LN, LAKE VILLA, IL 60046-9040
(847) 245-8346
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1991388
IL
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us