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Individual

DR. LARRY RAY FAULKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2150 E LAKE COOK RD, SUITE 900, BUFFALO GROVE, IL 60089-1862
(847) 229-6500
(847) 229-6600
Mailing address
2150 E LAKE COOK RD, SUITE 900, BUFFALO GROVE, IL 60089-1862
(847) 229-6500
(847) 229-6600

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.115947
IL

Other

Enumeration date
03/03/2006
Last updated
01/11/2012
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