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Individual

MRS. DAWN MARIE FOUSHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3301 ENTERPRISE PARK AVE, SOUTH CHICAGO HEIGHTS, IL 60411-5319
(708) 336-1936
Mailing address
3301 ENTERPRISE PARK AVE, SOUTH CHICAGO HEIGHTS, IL 60411-5319
(708) 336-1936

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
222Q00000X
IL

Other

Enumeration date
08/01/2013
Last updated
08/01/2013
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