Houston, Jack Forrest

Houston, Jack Forrest is an individual health care provider with primary practice located at 5Th Avenue & Roosevelt Road Building 113 , Hines IL 60141. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind, which is considered as his primary health care specialty. Houston, Jack Forrest can be contacted via phone (708) 202-3628.

Contact Information

Primary practice address
5Th Avenue & Roosevelt Road Building 113 Hines IL 60141
Phone: (708) 202-3628
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation, Blind 2255R0406X

Profile Details

NPI number 1881819589
LBN Legal business name Houston, Jack Forrest
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 19 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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