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1417468554
EDWARD CHARLES FAY
CHICAGO, IL
NPI
1417468554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.023267)
Enumeration Date
2017-10-16
Last Update Date
2017-10-16
Business Address
EDWARD CHARLES FAY
929 W FOSTER AVE
CHICAGO, IL 60640-1491
Phone number: 847-644-4423
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Mailing Address
EDWARD CHARLES FAY
343 W OLD TOWN CT APT 303
CHICAGO, IL 60610-7693
Phone number: 847-644-4423
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