HENRY FAJARDO

NORTHFIELD, IL
NPI1306124284
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Additional Taxonomies171W00000X Contractor
(Licence: IL  070014005)
Enumeration Date2011-07-27
Last Update Date2013-10-25
Business Address
-- HENRY FAJARDO
550 W FRONTAGE RD STE 2415
NORTHFIELD, IL 60093-1212
Phone number: 877-787-3422
Mailing Address
-- HENRY FAJARDO
550 FRONTAGE RD STE 2415
NORTHFIELD, IL 60093
Phone number: 877-787-3422
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