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1346708203
JUAN CARLOS FERNANDEZ
CHICAGO, IL
NPI
1346708203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL 125.079215)
Enumeration Date
2019-03-08
Last Update Date
2022-06-17
Business Address
JUAN CARLOS FERNANDEZ MD
1500 S FAIRFIELD AVE
CHICAGO, IL 60608-1782
Phone number: 773-542-2000
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Mailing Address
JUAN CARLOS FERNANDEZ MD
1500 S FAIRFIELD AVE
CHICAGO, IL 60608-1782
Phone number: 773-542-2000
Copy
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