JENNIFER ANNE FORCK


Address: 105 Wood Ct, Apt 2, East Peoria, IL 61611-5516
Phone: 3093035548

JENNIFER ANNE FORCK (NPI# 1477781599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477781599
Entity Type Individual
Full Name JENNIFER ANNE FORCK
Practice Address 105 Wood Ct
Apt 2
East Peoria
IL 61611-5516
Practice Telephone 3093035548
Practice Fax Number 3093035548
Mailing Telephone 3093035548
Mailing Fax Number 3093035548
Enumeration Date 2009-06-26
Last Update Date 2011-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 105 WOOD CT
APT 2
City EAST PEORIA
State IL
Zip Code 61611-5516

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548736390 Osf Multi-specialty Group Non-Pharmacy Dispensing Site 133 Spinder Drive Ste 4015, East Peoria, IL 61611 2018-10-19
1083128474 Abc Counseling & Family Services Clinic/Center 111 W. Washington St., Suite 410b, East Peoria, IL 61611 2017-11-22
1386162253 Cheryl Denise Hagedorn Speech-Language Pathologist 306 Eckley Avenue, East Peoria, IL 61611 2017-08-31
1710342076 Rebecca Uthe Physical Therapist 901 Illini Drive, East Peoria, IL 61611 2015-12-30
1669812103 Christopher Webb Dentist 360 West Washington Street, East Peoria, IL 61611 2013-06-28
1386985380 Dental Professionals of Illinois, P.C. Dentist 368 W. Washington St., East Peoria, IL 61611 2013-03-15
1730432675 Synergy Healthcare Physical Medicine Sc Chiropractor 350 Cimmeron Drive, East Peoria, IL 61611 2012-10-16
1508122029 Daniel Benjamin Gans Radiology 111 Oakwood Rd, East Peoria, IL 61611 2012-04-10
1326288390 Sara Sabry Fouad Rizk Pharmacist 2540 East Washington Street, East Peoria, IL 61611 2009-03-03
1356466007 Tazwood Mental Health Center, Inc. Counselor 111 W. Washington Street, Suite 230, East Peoria, IL 61611 2007-03-20
Find all providers in zip 61611

Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053715334 Tiffany Costello Developmental Therapist 406 Dundee Rd, East Peoria, IL 61611-1614 2014-10-15
1316230741 Elyse Nicole Feinhals Developmental Therapist 621 Illinois St, East Peoria, IL 61611-4722 2011-05-18
1184251415 Sarah Mosier Developmental Therapist 411 E Washington St, East Peoria, IL 61611-2663 2020-03-25
1942832696 Amy Rennie Developmental Therapist 411 E Washington St, East Peoria, IL 61611-2663 2020-02-11
1508408220 Danielle Kurhela Developmental Therapist 411 E Washington St, East Peoria, IL 61611-2663 2019-10-14
1952942518 Ann Devore Developmental Therapist 411 E Washington St, East Peoria, IL 61611-2663 2019-10-04
1083106660 Lindsey Thornton Developmental Therapist 411 E Washington St, East Peoria, IL 61611-2663 2018-05-31
1386145639 Jill Jones Developmental Therapist 411 E Washington St, East Peoria, IL 61611-2663 2018-02-22
1912413915 Andrea Nadine Worstell Developmental Therapist 411 E Washington St, East Peoria, IL 61611-2663 2017-12-28
1487181103 Erin Chan Developmental Therapist 411 E Washington St, East Peoria, IL 61611-2663 2017-05-11
Find all providers in EAST PEORIA

Competitor

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City EAST PEORIA
Zip Code 61611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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