Search › Illinois › 208600000X
Samantha Mackay-Forton
NPI 1497492128 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1775 Dempster St, Mailbox #48
Park Ridge, IL 60068 - Phone
- (847) 723-2210
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-10
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