Individual
DR. ABRA LEIGH FANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 E ONTARIO ST STE 200, CHICAGO, IL 60611-3284
(312) 694-7000
Mailing address
211 E ONTARIO ST STE 200, CHICAGO, IL 60611-3284
(312) 694-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036138001
IL
Other
Enumeration date
05/06/2011
Last updated
07/23/2015
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