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1083795538
WILLIAM THOMAS FADER
CHICAGO, IL
NPI
1083795538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036-072330)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM THOMAS FADER
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 773-843-3601
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Mailing Address
Dr. WILLIAM THOMAS FADER
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 773-843-3601
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