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1821618034
BERNICE FOKUM
CHICAGO, IL
NPI
1821618034
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 125.076842)
Enumeration Date
2020-04-17
Last Update Date
2020-06-02
Business Address
BERNICE FOKUM
5841 S MARYLAND AVE # MC5068
CHICAGO, IL 60637-1443
Phone number: 773-834-6107
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Mailing Address
BERNICE FOKUM
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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