Henry Fajardo

NPI #1306124284 in Northfield, Illinois

Provider Information

NPI Number: 1306124284
Entity Type: Individual
Name: Henry Fajardo
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Jul 27, 2011
Last Updated: Oct 25, 2013

Practice Location

Address: 550 W FRONTAGE RD STE 2415
City: Northfield
State: Illinois
ZIP Code: 60093-1212
Phone: (877) 787-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X
Physical Therapist	225100000X	Primary

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