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Individual

DR. MARY CAROLYN FAHRMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-2226
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101268496
VA
2084P0800X
Psychiatry Physician
Primary
036159744
IL
2084P0800X
Psychiatry Physician
1917
WI
2084P0800X
Psychiatry Physician
2006012798
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245252303
MO
Enumeration date
07/24/2006
Last updated
05/24/2024
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