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1245204312
RICHARD J FAIRBROTHER
CHICAGO, IL
NPI
1245204312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036112340)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
RICHARD J FAIRBROTHER D.O.
2001 W ADDISON ST
CHICAGO, IL 60618-6132
Phone number: 773-404-1000
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Mailing Address
RICHARD J FAIRBROTHER D.O.
2001 W ADDISON ST
CHICAGO, IL 60618-6132
Phone number: 773-404-1000
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