Individual
DR. FADI A. FARSAKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Mailing address
939 W WASHINGTON BLVD APT 601, CHICAGO, IL 60607-2263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0
IL
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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