14D1081974 CLIA NUMBER - FORWARD FOCUS MEDICAL CARE L L C

Laboratory Demographics

CLIA Number: 14D1081974

Facility Name: FORWARD FOCUS MEDICAL CARE L L C

Facility Address:
990 S WAUKEGAN RD - STE 200
LAKE FOREST, IL
ZIP 60045
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Facility Phone Number: 847 234-8100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245314616

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 14D1081974
LAB Type Physician Office
Facility Name FORWARD FOCUS MEDICAL CARE L L C
Street 990 S WAUKEGAN RD - STE 200
City LAKE FOREST
State IL
ZIP 60045
Phone 847 234-8100
CertificateType 4
CertificateEffectiveDate 3/31/2024
CertificateExpirationDate 3/30/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024