RICHARD JOSEPH FANTUS

CHICAGO, IL
NPI1457383697
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0102X Surgery, Surgical Critical Care
(Licence: IL  036064949)
Additional Taxonomies2086S0127X Surgery, Trauma Surgery
(Licence: IL  036064949)
Enumeration Date2006-07-07
Last Update Date2007-07-08
Business Address
Dr. RICHARD JOSEPH FANTUS M.D.
836 W WELLINGTON AVE
CHICAGO, IL 60657-5147
Phone number: 773-296-7033
Mailing Address
Dr. RICHARD JOSEPH FANTUS M.D.
836 W WELLINGTON AVE 4813 CENTER COURT
CHICAGO, IL 60657-5147
Phone number: 773-296-7033