Thomas Joseph Forman
NPI #1982373486 in Lake Villa, Illinois
Provider Information
- NPI Number
- 1982373486
- Entity Type
- Individual
- Name
- Thomas Joseph Forman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Sep 8, 2021
- Last Updated
- Sep 8, 2021
Practice Location
- Address
- 515 THOMPSON LN
- City
- Lake Villa
- State
- Illinois
- ZIP Code
- 60046-9040
- Phone
- (847) 245-8346
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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