Forward Living Ltd

NPI #1184856973 in Bloomington, Illinois

Provider Information

NPI Number
1184856973
Entity Type
Organization
Organization Name
Forward Living Ltd
Primary Specialty
Chiropractor
Enumeration Date
Aug 13, 2009
Last Updated
Oct 1, 2009

Practice Location

Address
220 N ELDORADO RD
Address 2
SUITE B
ZIP Code
61704-7703
Phone
(309) 664-0102

Authorized Official

Name
DR. JAMES BRENDAN PARISH, D.C.
Title
PRESIDENT
Phone
(309) 664-0102

Specialties & Taxonomy Codes

Specialty
Chiropractor

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