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Individual

MS. THERESIA FONGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4790 HICKORY CREEK DR, APT 8, UNIVERSITY PARK, IL 60484-2740
(630) 936-9862
Mailing address
4790 HICKORY CREEK DR, APT 8, UNIVERSITY PARK, IL 60484-2740
(630) 936-9862

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
01/12/2015
Last updated
01/12/2015
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