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1922585108
AUDREY FENWICK
CHICAGO, IL
NPI
1922585108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085006630)
Enumeration Date
2018-07-20
Last Update Date
2018-07-31
Business Address
AUDREY FENWICK PA-C
259 E ERIE ST STE 2450
CHICAGO, IL 60611
Phone number: 312-694-9676
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Mailing Address
AUDREY FENWICK PA-C
2020 N LINCOLN PARK W APT 10L
CHICAGO, IL 60614-4481
Phone number: 502-295-4508
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