Organization
ROBERT A. FAJARDO, M.D., S.C.
Active
Organization
ROBERT A. FAJARDO, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A. FAJARDO M.D. (PRESIDENT)
(312) 922-6071
Entity
Organization
Contact information
Practice address
122 SO. MICHIGAN AVE., SUITE 1413, CHICAGO, IL 60603-6191
(312) 922-6071
(312) 922-5656
Mailing address
122 SO. MICHIGAN AVE., SUITE #1413, CHICAGO, IL 60603-6191
(312) 922-6071
(312) 922-5656
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36-39990
IL
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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