Individual
DR. JAVIER E. FAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2419 W CORNERSTONE CT, PEORIA, IL 61614-2529
(309) 692-2025
Mailing address
2023 VADALABENE DR, STE 200, MARYVILLE, IL 62062-5636
(618) 288-7408
(618) 288-7418
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-117247
IL
207V00000X
Obstetrics & Gynecology Physician
036117247
IL
Other
Enumeration date
01/31/2007
Last updated
11/24/2023
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