Dr. Katie Rose Fortman, DC
Chiropractor in Chicago, IL. Individual provider (NPI-1).
NPI number1669129136
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1669129136
- Entity type
- Individual (NPI-1)
- Name
- Dr. Katie Rose Fortman
- Credential
- DC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2022
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038013753 | IL | Yes |
Practice location
600 W Chicago Ave Ste 1000Chicago, IL 60654-2801
Phone 312-625-0845
Mailing address
1111 W 14th Pl Unit 109Chicago, IL 60608-2796
Phone 708-945-8437
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