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Contact Information

DR FORECKI AND ASSOCIATES, LTD
137 W NORTH AVE
NORTHLAKE, IL60164-2316
 Phone: 239-229-6423
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Point of Service

305S00000X
Indicates primary specialty

NPI Profile & details for DR FORECKI AND ASSOCIATES, LTD

NPI Number 1003092388
LBN Legal business name DR FORECKI AND ASSOCIATES, LTD
Authorized official DIANE FORECKI - (OPTOMETRIST/PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/16/2008
Last updated 01/01/2015 - About 11 years ago
Identifiers
IL License # 046-007557
IL Medicaid 046007557
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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