Individual
EDWARD CHARLES FAY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
929 W FOSTER AVE, CHICAGO, IL 60640-1491
(847) 644-4423
Mailing address
343 W OLD TOWN CT APT 303, CHICAGO, IL 60610-7693
(847) 644-4423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.023267
IL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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