Whalio Doctors

NPI 1003073735

Keri Leah Fair, MDPHD

Practitioner Family Medicine Physician Chicago, IL

Practice location

Address
4600 N Ravenswood Ave 2nd Floor, Chicago, IL 60640-4510
Phone
(773) 561-7500
Fax
(773) 561-7612

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036119844 (IL)

Registry record

NPI
1003073735
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 May 2008
Record last updated
20 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.