NPI 1568856672

Preston Fairchild, MSWQMHP

Practitioner Respite Care Western Springs, IL

Practice location

Address: 1023 Burlington Ave, Western Springs, IL 60558-1516
Phone: (708) 288-3898

Registered specialties (2)

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Registry record

NPI: 1568856672
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Mar 2015
Record last updated: 30 Mar 2015

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.