Provider Demographics
NPI:1477522126
Name:FORGERON, KARL STEPHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:KARL
Middle Name:STEPHEN
Last Name:FORGERON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 W ALGONQUIN RD
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-1573
Mailing Address - Country:US
Mailing Address - Phone:630-289-2225
Mailing Address - Fax:630-429-9730
Practice Address - Street 1:1732 W ALGONQUIN RD
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-1573
Practice Address - Country:US
Practice Address - Phone:630-289-2225
Practice Address - Fax:630-429-9730
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-15
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008415111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1621984OtherBLUE CROSS/BLUE SHIELD OF ILLINOIS PROVIDER NUMBER
IL1621984OtherBCBSIL
U71080Medicare UPIN