Dr. Franklin W Forman
Occupational Health
1600 N Main St
Wheaton
, Illinois 60189-3145
Dr. Franklin W Forman
Occupational Health
1600 N Main St
Wheaton
, Illinois 60189-3145
(630) 604-0099
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About
Features
Specialties
- Occupational Health
Languages spoken
- English
Location
First Address
- Dr. Franklin W Forman
- 1984 Spring Green Dr
- Wheaton, IL
- Zip : 60189-7254
- Fax : (630) 604-0099
- Phone : (630) 510-7774
Second Address
- Dr. Franklin W Forman
- 1600 N Main St
- Wheaton, IL
- Zip : 60189-3145
- Fax : (630) 604-0099
- Phone : (630) 510-7774
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NX0100X | Occupational Health | 038-003478 | IL |
National Provider Identifier
| NPI | 1548351216 |
|---|---|
| Provider Name | Dr. Franklin W Forman |
| First Address | Wheaton, IL 60189-7254 |
| Second Address | Wheaton, IL 60189-3145 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/09/2006 |
| Last Update Date | 22/03/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2290080 | BC/BS ID NUMBER (01) | IL |
| L31895 | INDIVIDUAL MEDICARE NO. (01) | IL |
| T35970 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.