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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