Most Relevant Information
Provider Data
NPI Number: | 1003073735 |
Provider Name: | KERI LEAH FAIR M.D., PH.D. |
Entity Type: | Individual |
Taxonomy Code: | 207Q00000X |
Specialty: | Family Medicine |
License Number: | 036119844 |
Most Important Dates
Enumeration Date: | 05/20/2008 |
Last Updated: | 05/20/2008 |
Provider Practice Location
4600 N RAVENSWOOD AVE
2ND FLOOR
CHICAGO
IL
606404510
Practice Location Phone/Fax
Phone: | 7735617500 |
Fax: | 7735617612 |
Provider Mailing Location
4600 N RAVENSWOOD AVE
2ND FLOOR
CHICAGO
IL
606404510
Provider Mailing Phone/Fax
Phone: | 7735617500 |
Fax: | 7735617612 |
Suggested EMR
Family Practice EMR