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Individual

LISA FABIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1401 S CALIFORNIA AVE, CHICAGO, IL 60608-1858
(773) 522-2010
Mailing address
4019 S LAKE PARK AVE, UNIT 1, CHICAGO, IL 60653-2524

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
16003265
IL

Other

Enumeration date
08/31/2012
Last updated
08/31/2012
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