Carbonell, Fabian
Carbonell, Fabian is an individual health care provider with primary practice located at 2845 N Sheridan Rd Ste 708 , Chicago IL 60657-7227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Carbonell, Fabian can be contacted via phone (773) 649-4261.Contact Information
Primary practice address
2845 N Sheridan Rd Ste 708
Chicago IL 60657-7227
Phone: (773) 649-4261
Fax: (872) 243-2843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036098028 | Illinois |
Profile Details
| NPI number | 1295705119 |
|---|---|
| LBN Legal business name | Carbonell, Fabian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Nov 17th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295705119 | NPPES |
| Illinois | MEDICAID | 036098028 |
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