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1114564135
SPENCER FANG
GLENVIEW, IL
NPI
1114564135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: IL 070024872)
Enumeration Date
2019-12-09
Last Update Date
2019-12-19
Business Address
SPENCER FANG PT, DPT
1824 JOHNS DR
GLENVIEW, IL 60025-1657
Phone number: 847-581-6300
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Mailing Address
SPENCER FANG PT, DPT
1824 JOHNS DR
GLENVIEW, IL 60025-1657
Phone number: 847-581-6300
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