Individual
MR. PRESTON FAIRCHILD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, QMHP
Contact information
Practice address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 288-3898
Mailing address
1023 BURLINGTON AVE, WESTERN SPRINGS, IL 60558-1516
(708) 288-3898
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
03/30/2015
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