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1508885567
IRVING FULD
EVERGREEN, IL
NPI
1508885567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036063579)
Enumeration Date
2006-07-19
Last Update Date
2007-07-08
Business Address
Dr. IRVING FULD MD
2800 W 95TH STREET LITTLE COMPANY OF MARY HOSPITAL
EVERGREEN, IL 60805
Phone number: 708-229-5104
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Mailing Address
Dr. IRVING FULD MD
6910 SO MADISON
WILLOWBROOK, IL 60527
Phone number: 630-321-2715
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