BRIAN FONDREN

CHICAGO, IL
NPI1063889210
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209.012603)
Enumeration Date2015-08-24
Last Update Date2015-08-24
Business Address
-- BRIAN FONDREN FNP-C
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
Mailing Address
-- BRIAN FONDREN FNP-C
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-8387
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