Diane G Forecki, OD

NPI #1306004148 in Northlake, Illinois

Provider Information

NPI Number: 1306004148
Entity Type: Individual
Name: Diane G Forecki, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 29, 2008
Last Updated: May 29, 2008

Practice Location

Address: 137 W NORTH AVE
City: Northlake
State: Illinois
ZIP Code: 60164-2316
Phone: (708) 409-0047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

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