Ilene Fortin

NPI #1710288683 in Park Ridge, Illinois

Provider Information

NPI Number: 1710288683
Entity Type: Individual
Name: Ilene Fortin
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Nov 9, 2010
Last Updated: Nov 9, 2010

Practice Location

Address: 819 BUSSE HWY
City: Park Ridge
State: Illinois
ZIP Code: 60068-2360
Phone: (847) 696-1570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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Organizations

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