Forgue, Ronald D

Forgue, Ronald D is an sole proprietor health care provider with primary practice located at 2608 W 100Th St , Chicago IL 60655-1657. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychoanalyst. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Forgue, Ronald D can be contacted via phone (773) 445-4784.

Contact Information

Primary practice address
2608 W 100Th St Chicago IL 60655-1657
Phone: (773) 445-4784
Fax: (708) 575-2876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178018519 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 178.018519 Illinois
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 12022942 Illinois

Profile Details

NPI number 1073170908
LBN Legal business name Forgue, Ronald D
Credentials QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2019
Last updated Apr 1st, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1073170908 NPPES
Illinois Other 8641323 AETNA
Illinois MEDICAID 1124890488 AETNA

Popular Providers