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1992919401
SUSAN FOX
CHICAGO, IL
NPI
1992919401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085002353)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Mrs. SUSAN FOX PA-C, MMS
1725 W HARRISON ST STE 117
CHICAGO, IL 60612-3848
Phone number: 312-942-6296
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Mailing Address
Mrs. SUSAN FOX PA-C, MMS
1656 W FARWELL AVE APT 3F
CHICAGO, IL 60626-3623
Phone number:
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