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Gordon Fuqua, M.D
NPI 1881965309 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2131 N Clark St
# 9
Chicago, IL 60614 - Phone
- (312) 623-8006
Registry record
- Primary taxonomy
- Psychiatry
2084P0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois