Individual
MR. CARL ANTHONY FABISZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8700 S KEDZIE AVE, EVERGREEN PARK, IL 60805-1024
(708) 499-8051
Mailing address
9625 S TRIPP AVE, OAK LAWN, IL 60453-3236
(708) 423-8288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051029554
IL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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