Forsythe, Brian

Forsythe, Brian is an individual health care provider with primary practice located at 1611 W Harrison St Ste 400 , Chicago IL 60612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Forsythe, Brian can be contacted via phone (708) 236-2600.

Contact Information

Primary practice address
1611 W Harrison St Ste 400 Chicago IL 60612
Phone: (708) 236-2600
Fax: (708) 409-5179
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 214314 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036-120879 Illinois

Profile Details

NPI number 1770557811
LBN Legal business name Forsythe, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 3rd, 2018 - about 7 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770557811 NPPES
Illinois Other 1633878 BCBS
Illinois MEDICAID 036120879 2 BCBS

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