GORDON ANDREW FUQUA

CHICAGO, IL
NPI1881965309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IL  036041997)
Enumeration Date2012-01-13
Last Update Date2012-01-13
Business Address
Dr. GORDON ANDREW FUQUA M.D.
2131 N CLARK ST # 9
CHICAGO, IL 60614-6188
Phone number: 312-623-8006
Mailing Address
Dr. GORDON ANDREW FUQUA M.D.
2131 N CLARK ST # 9
CHICAGO, IL 60614-6188
Phone number: 312-623-8006
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