Marcus Laron Forward II, PA-C

NPI #1336767292 in Norridge, Illinois

Provider Information

NPI Number: 1336767292
Entity Type: Individual
Name: Marcus Laron Forward II, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 8, 2020
Last Updated: Mar 4, 2022

Practice Location

Address: 4900 N CUMBERLAND AVE
City: Norridge
State: Illinois
ZIP Code: 60706-2901
Phone: (708) 456-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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