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1730626011
MARC FAGAN
CHICAGO, IL
NPI
1730626011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: IL 071.006654)
Enumeration Date
2017-01-25
Last Update Date
2017-01-25
Business Address
Dr. MARC FAGAN Psy.D.
4101 N RAVENSWOOD AVE.
CHICAGO, IL 60613
Phone number: 773-572-5402
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Mailing Address
Dr. MARC FAGAN Psy.D.
1335 DEERFIELD RD
DEERFIELD, IL 60015
Phone number: 847-651-2493
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