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1639564776
FANG BAI
CHICAGO, IL
NPI
1639564776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MO 2019005006)
Enumeration Date
2015-04-06
Last Update Date
2020-07-21
Business Address
FANG BAI
912 S WOOD ST
CHICAGO, IL 60612-4300
Phone number: 312-996-6906
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Mailing Address
FANG BAI
912S WOOD ST 174N
CHICAGO, IL 60612-4300
Phone number: 312-996-6906
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