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1477506699
MARY B. FAUSONE
CHICAGO, IL
NPI
1477506699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IL 036072112)
Enumeration Date
2006-05-18
Last Update Date
2012-05-17
Business Address
Dr. MARY B. FAUSONE M.D.
676 N SAINT CLAIR ST #1880
CHICAGO, IL 60611-2927
Phone number: 312-642-9844
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Mailing Address
Dr. MARY B. FAUSONE M.D.
676 N SAINT CLAIR ST #1880
CHICAGO, IL 60611-2927
Phone number: 312-642-9844
Copy
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