Individual
MRS. DEBORAH FAYNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS
Contact information
Practice address
1004 BUELL AVE, JOLIET, IL 60435-6940
(815) 722-0154
(815) 722-0154
Mailing address
1004 BUELL AVE, JOLIET, IL 60435-6940
(815) 722-0154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1429
IL
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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