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1154616548
ROBERT FONG
CHICAGO, IL
NPI
1154616548
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IL 125.056492)
Enumeration Date
2011-06-14
Last Update Date
2011-06-14
Business Address
Dr. ROBERT FONG MD, PhD
5840 S MARYLAND AVE MC4028
CHICAGO, IL 60637-1462
Phone number: 773-702-6700
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Mailing Address
Dr. ROBERT FONG MD, PhD
9434 KOLMAR AVE
SKOKIE, IL 60076-1322
Phone number: 773-575-3602
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