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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK FORREST HOUSTON

Active

JACK FORREST HOUSTON is a 2255R0406X healthcare provider located in HINES, Illinois. NPI 1881819589 is currently active in the NPPES registry. Verify at CMS.

2255R0406X · HINES, IL

Registration Details

NPI Number
1881819589
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2007 (19.308081289834 yrs)
Last Updated
Jul 8, 2007

Practice Information

Address
5TH AVENUE & ROOSEVELT ROAD BUILDING 113
HINES, IL, 60141
Browse IL providers · Browse ZIP 60141
Phone
7082023628
Primary Specialty
2255R0406X
2255R0406X

Other 2255R0406X Providers in HINES, IL

Name Credential NPI
MR. DANIEL LEE SMITH MA 1477577450
MRS. BARBARA JEAN HUNT CVRT 1982610390
DEBORAH DEAN 1285738419
ELIZABETH MARIE BERZAC COMS 1497850705
SUDHAKAR PISIPATI 1457456766
MR. THOMAS PATRICK WOLF LVT/OMS/VRT 1366547952
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.