FORREST FAMILY PRACTICE LLC
NPI 1104003086
Family Medicine in Forrest, IL

Q: What is Forrest Family Practice Center LLC's NPI number?

The NPI number for Forrest Family Practice Center LLC is 1104003086. It was assigned to this organization in the NPPES registry on January 23, 2008. The provider is doing business as Forrest Family Practice LLC.

Q: What is Forrest Family Practice Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 23, 2008

122 E WABASH AVE, FORREST, IL 61741(815) 657-8707(815) 657-8717 Get Directions Write a Review

NPPES record last updated: July 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Forrest Family Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORREST FAMILY PRACTICE LLC (NPI 1104003086) is a healthcare organization registered as a family medicine in Forrest, Illinois and active in the NPI registry since January 2008. The organization lists Benjamin E Brewer, Owner, as its authorized official.

NPPES Registry Identity

NPI1104003086

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFORREST FAMILY PRACTICE CENTER LLC

Location Address122 E WABASH AVEForrest, IL 61741

Mailing Address122 E Wabash Ave, P O Box 58Forrest, IL 61741 · (815) 657-8707 · Fax (815) 657-8717

Phone(815) 657-8707

Fax(815) 657-8717

Organization SubpartYesParent: Gibson Community Hospital Association

Authorized OfficialBenjamin E BrewerOwner · (815) 657-8707

Enumeration DateJanuary 23, 2008

Last NPPES UpdateJuly 2, 2009

✔ NPI 1104003086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

122 E WABASH AVE, Forrest, IL 61741

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Other Names 1

Doing Business AsForrest Family Practice Llc

Other Identifiers 2

Medicare OSCAR/certification148903IL

Medicaid364468162001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GIBSON COMMUNITY HOSPITAL ASSOCIATION

Clinic/Center (Rural Health)