Edward S Forman (NPI# 1639122955, PAC ID# 9931190105) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1639122955 |
PAC ID by PECOS | 9931190105 |
Professional Enrollment ID | I20040518001432 |
Full Name | Edward S Forman |
Address |
6201 W Touhy Ave Suite 2 Chicago IL 60646-1119 |
Gender | M |
Credential | MD |
Medical School | CHICAGO COLLEGE OF OSTEOPATHY |
Graduation Year | 1991 |
Primary Specialty | ORTHOPEDIC SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
140114 | SWEDISH COVENANT HOSPITAL |
140080 | PRESENCE SAINT FRANCIS HOSPITAL |
140182 | ADVOCATE ILLINOIS MASONIC MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
6201 W Touhy Ave, Suite 2, Chicago, IL 60646-1119 |
Street Address |
6201 W TOUHY AVE SUITE 2 |
City | CHICAGO |
State | IL |
Zip | 60646-1119 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kevin J Cayanan | Nurse Practitioner | Gericare Associates Sc | 6201 W Touhy Ave, Chicago, IL 60646-1100 |
Maria P Sayi | Nurse Practitioner | Gericare Associates Sc | 6201 W Touhy Ave, Chicago, IL 60646-1100 |
Curie H Lee | Nurse Practitioner | Gericare Associates Sc | 6201 W Touhy Ave, Chicago, IL 60646-1100 |
Vibe Pearl L Guillergan | Nurse Practitioner | Gericare Associates Sc | 6201 W Touhy Ave, Chicago, IL 60646-1100 |
Linda A Tanni | Nurse Practitioner | Gericare Associates Sc | 6201 W Touhy Ave, Chicago, IL 60646-1100 |
Jessica M Afarin | Nurse Practitioner | Gericare Associates Sc | 6201 W Touhy Ave, Chicago, IL 60646-1100 |
Yeyin Yi | Nurse Practitioner | Gericare Associates Sc | 6201 W Touhy Ave, Chicago, IL 60646-1100 |
Kristin Lynn King | Nurse Practitioner | Gericare Associates Sc | 6201 W Touhy Ave, Chicago, IL 60646-1100 |
Name | Specialty | Organization | Address |
---|---|---|---|
Thomas Robert Schumacher | Family Medicine | Swedish Covenant Management Services, Inc. | 6225 W Touhy, Chicago, IL 60646-1105 |
Oleh Terleckyj | Internal Medicine | Swedish Covenant Management Services, Inc. | 6225 W Touhy, Chicago, IL 60646-1105 |
Irina Daniel | Family Medicine | Swedish Covenant Management Services, Inc. | 6225 W Touhy, Chicago, IL 60646-1105 |
Gregg S Bradford | Chiropractic | 6237 W Touhy Ave, Chicago, IL 60646-1106 | |
Ashley J Poczekaj | Physical Therapy | Athletico Ltd | 6000 W Touhy Ave, Suite 202, Chicago, IL 60646-1248 |
Kimberly A Martin | Occupational Therapy | Athletico Ltd | 6000 W Touhy Ave, Suite 202, Chicago, IL 60646-1248 |
Amy N Bell | Physical Therapy | Athletico Ltd | 6000 W Touhy Ave, Suite 202, Chicago, IL 60646-1248 |
Klaudia D Kulpa Lindgren | Occupational Therapy | Athletico Ltd | 6000 W Touhy Ave, Suite 202, Chicago, IL 60646-1248 |
Chris Thomas Gile | Chiropractic | 6139 W Touhy Ave, Chicago, IL 60646-1268 | |
Martha M Wiedlin | Physical Therapy | 6413 N Kinzua Ave, Chicago, IL 60646-2853 | |
Find all physicians in zip 60646 |
City | CHICAGO |
Zip Code | 60646 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | CHICAGO + ORTHOPEDIC SURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.