Search › Illinois › School Psychologist
Thomas Forman
NPI 1982373486 · on the registry since 2021 · sole proprietor
Practice
- Address
- 515 Thompson Ln
Lake Villa, IL 60046 - Phone
- (847) 245-8346
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- School Psychologist
103TS0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-08
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