Provider Demographics
NPI:1215045752
Name:FORSTER COUNSELING AND PSYCHOLOGICAL SERVICES, INC.
Entity type:Organization
Organization Name:FORSTER COUNSELING AND PSYCHOLOGICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:FORSTER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-695-0900
Mailing Address - Street 1:8601 W BRYN MAWR AVE
Mailing Address - Street 2:SUITE 101 BLDG B1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3570
Mailing Address - Country:US
Mailing Address - Phone:773-695-0900
Mailing Address - Fax:773-695-0700
Practice Address - Street 1:8601 W BRYN MAWR AVE
Practice Address - Street 2:SUITE 101 BLDG B1
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3570
Practice Address - Country:US
Practice Address - Phone:773-695-0900
Practice Address - Fax:773-695-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL359190Medicare ID - Type Unspecified