William Thomas Fader

NPI 1083795538 - Family Medicine - 207Q00000X

NPI Details
NPI 1083795538
Gender Male
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3860 W OGDEN AVE
CHICAGO IL, 60623-2460, US
Phone (773) 843-3601
Fax (773) 843-2704
Business Location
3860 W OGDEN AVE
CHICAGO IL, 60623-2460, US
Phone (773) 843-3601
Fax (773) 843-2704
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036-072330
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According to our database, Dr. William Thomas Fader NPI is 1083795538, taxonomy code is 207Q00000X and license number is 036-072330, license state is located at Illinois. William Thomas Fader physically located at 3860 W Ogden Ave, Chicago IL, 60623-2460. NPI Number William Thomas Fader has the Individual type.

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1083795538 NPI number is provided on an as is basis without warranty of any kind. 1083795538 is maintained by the National Plan & Provider Enumeration System. The contents of William Thomas Fader are for informational purposes only.