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Individual
DR. ROBERT J FAST
Active
Individual
DR. ROBERT J FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009109
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
627824
ULTC
IL
01
—
900068033
ESSENCE
IL
01
—
P00110676
MEDICARE RR
IL
Enumeration date
06/21/2005
Last updated
07/31/2017
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