Search › Illinois › 222Q00000X

Jennifer Forck

NPI 1477781599 · on the registry since 2009

Practice

Address
105 Wood Ct
Apt 2
East Peoria, IL 61611
Phone
(309) 303-5548
Fax
(309) 303-5548

Registry record

Primary taxonomy
222Q00000X
222Q00000X
Sex
Female
Record last updated
2011-07-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois