Organization
HOWARD BROWN HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD FAJARDO (CLINICAL PSYCHOLOGIST)
(773) 388-8909
Entity
Organization
Contact information
Practice address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-8909
Mailing address
720 W GORDON TER, CHICAGO, IL 60613-5700
(773) 296-9505
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
01/18/2006
Last updated
08/22/2020
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