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1831280494
BRIAN MICHAEL FAGAN
JOLIET, IL
NPI
1831280494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 36107817)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
-- BRIAN MICHAEL FAGAN MD
JOLIET RADIOLOGICAL SERVICES CORP PROVENA ST. JOESPH ME 333 N MADISON ST
JOLIET, IL 60435
Phone number: 815-741-7213
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Mailing Address
-- BRIAN MICHAEL FAGAN MD
836 FORNHAM LN
WHEATON, IL 60187
Phone number: 630-681-9927
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