Kimberly A Forsey, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-092233 Issued in IL

Practice address

1475 E Belvidere Rd
Suite 315
Grayslake, IL 60030-2012

Phone

(847) 548-8777

Fax

(847) 548-8899

NPI assigned

Jul 5, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kforsey421365@direct.myadvocateaurora.org
• Direct secure messaging: kforsey113839@direct.luriechildrens.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ann & Robert H. Lurie Children'S Hospital of Chicago

  • Children's Hospital
  • Chicago, IL
  • NPI 1235234535
  NPD
• Fairview Pediatrics LLC

  • Pediatrics Physician
  • Grayslake, IL
  • NPI 1194941757
  NPD (past)
• Pediatrust, L.L.C.

  • Pediatrics Physician
  • Lake Forest, IL
  • NPI 1982958013
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1215934211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18380 SPRINGWOOD DR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600304014",
            "telephone_number": "847-223-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 E BELVIDERE RD",
            "address_2": "SUITE 315",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302012",
            "telephone_number": "847-548-8777",
            "fax_number": "847-548-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSEY",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-092233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristen Flewellen, MD
• Flex Forward Physical Therapy & Wellness LLC
• Erin Flynn
• Robert Flynn, LCPC
• Forefront Dermatology, S.C.
• Aubrey Lee Fossen
• Kimberly Foster
• Sean D Foster
• Jamie Christine Fox, MA
• Jenifer Marie Frechette, MSW

• Pediatrics Physician in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.