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1811964679
DAVID FAVREAU FARDON
CHICAGO, IL
NPI
1811964679
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IL 036118859)
Enumeration Date
2006-03-01
Last Update Date
2009-11-23
Business Address
Dr. DAVID FAVREAU FARDON M.D.
1611 W HARRISON ST STE 400
CHICAGO, IL 60612-3841
Phone number: 312-243-4244
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Mailing Address
Dr. DAVID FAVREAU FARDON M.D.
1 WESTBROOK CORP CTR # 240
WESTCHESTER, IL 60154-5701
Phone number:
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