Individual
DR. ANNE MARIE FABRICIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
400 N MCCLURG CT, #1608, CHICAGO, IL 60611-4323
(847) 208-3340
Mailing address
400 N MCCLURG CT, #1608, CHICAGO, IL 60611-4323
(847) 208-3340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019.028395
IL
1223G0001X
General Practice Dentistry
019.028395
IL
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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