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Individual

DR. RICHARD GLENN FESSLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1725 W. HARRISON AVE, SUITE 855, CHICAGO, IL 60612
(312) 942-6644
(312) 942-2176
Mailing address
1725 W. HARRISON AVE, SUITE 855, CHICAGO, IL 60612
(312) 942-6644
(312) 942-2176

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036071536
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036071536
IL
Enumeration date
04/10/2007
Last updated
05/28/2013
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