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1205049822
BRENDA R FABISCH
CHICAGO, IL
NPI
1205049822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: IL 019020835)
Enumeration Date
2007-05-08
Last Update Date
2007-07-09
Business Address
-- BRENDA R FABISCH DDS
6518 N CLARK ST
CHICAGO, IL 66626-4002
Phone number: 773-262-5600
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Mailing Address
-- BRENDA R FABISCH DDS
6518 N CLARK ST
CHICAGO, IL 66626-4002
Phone number: 773-262-5600
Copy
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