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1811568512
EMAD FARD
CHICAGO, IL
NPI
1811568512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QS0112X Clinic/Center, Oral and Maxillofacial Surgery
Enumeration Date
2021-07-05
Last Update Date
2021-07-05
Business Address
EMAD FARD
1969 W OGDEN AVE
CHICAGO, IL 60612-3765
Phone number: 312-864-6000
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Mailing Address
EMAD FARD
903 S ASHLAND AVE # 2-0204
CHICAGO, IL 60607-4002
Phone number: 312-925-0384
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