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1104178029
LOUIS P FABICON
CHICAGO, IL
NPI
1104178029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056-009879)
Enumeration Date
2012-10-03
Last Update Date
2018-09-14
Business Address
LOUIS P FABICON OT
1747 E 95TH ST
CHICAGO, IL 60617
Phone number: 773-375-8711
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Mailing Address
LOUIS P FABICON OT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6200
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