FORREST FAMILY PRACTICE LLC – NPI #1104003086
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
FORREST FAMILY PRACTICE LLC is a provider located in FORREST, IL. NPPES has assigned the NPI number 1104003086 to FORREST FAMILY PRACTICE LLC on January 23, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “FORREST FAMILY PRACTICE LLC” is a dba name, the actual legal business name for this organization is FORREST FAMILY PRACTICE CENTER LLC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 17 years ago on Jul 02, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORREST FAMILY PRACTICE LLC below.
NPI Profile for
FORREST FAMILY PRACTICE CENTER LLC
(more than 18 years ago)
FORREST, IL 61741 Phone: (815) 657-8707 Fax: (815) 657-8717
OWNER
Phone: (815) 657-8707
Identifiers for FORREST FAMILY PRACTICE LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | IL | 364468162001 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.