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1134851538
MITCHELL FAGAN
CHICAGO, IL
NPI
1134851538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 125.079694)
Enumeration Date
2022-06-26
Last Update Date
2022-06-26
Business Address
Dr. MITCHELL FAGAN DO
1750 W HARRISON ST STE 108
CHICAGO, IL 60612-3825
Phone number: 312-942-7802
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Mailing Address
Dr. MITCHELL FAGAN DO
1750 W HARRISON ST STE 108
CHICAGO, IL 60612-3825
Phone number: 312-942-7802
Copy
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