Individual
DR. CRAIG FASSL ERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5375
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.068921
IL
207P00000X
Emergency Medicine Physician
2019026354
MO
Other
Enumeration date
06/28/2016
Last updated
11/18/2019
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