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Individual

DANETTE FADZL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MEDICAL BILLING

Contact information

Practice address
1406 E 72ND ST, CHICAGO, IL 60619-1510
(312) 539-9966
Mailing address
1406 E 72ND ST, CHICAGO, IL 60619-1510
(312) 539-9966

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
400129120602
OH

Other

Enumeration date
07/17/2018
Last updated
07/17/2018
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