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1760097406
MARK ANDREW FASICK
PARK RIDGE, IL
NPI
1760097406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
MARK ANDREW FASICK
1775 DEMPSTER ST
PARK RIDGE, IL 60068-1143
Phone number: 847-723-7501
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Mailing Address
MARK ANDREW FASICK
306 S WAVERLY PL
MOUNT PROSPECT, IL 60056-2939
Phone number:
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ILLINOIS BONE AND JOINT INSTITUTE LLC