Forefront-Khatkhate Medical Services PC
NPI #1164076683 in Springfield, Illinois
Provider Information
- NPI Number
- 1164076683
- Entity Type
- Organization
- Organization Name
- Forefront-Khatkhate Medical Services PC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Aug 1, 2019
- Last Updated
- Aug 10, 2019
Practice Location
- Address
- 600 S 2ND ST STE 404
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-2542
- Phone
- (510) 201-0190
Authorized Official
- Name
- SHERRY KOVACS
- Title
- ASSISTANT/PROVIDER ENROLLMENT
- Phone
- (949) 552-5232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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