Farbota, Leo M

Farbota, Leo M is an individual health care provider with primary practice located at 745 Fletcher Dr Suite 302, Elgin IL 60123-4747. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Farbota, Leo M can be contacted via phone (847) 695-6600.

Contact Information

Primary practice address
745 Fletcher Dr Suite 302 Elgin IL 60123-4747
Phone: (847) 695-6600
Fax: (847) 695-4279
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036070813 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036070813 Illinois

Profile Details

NPI number 1982665196
LBN Legal business name Farbota, Leo M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Dec 15th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982665196 NPPES
Other 4515536 BCBS
MEDICAID 036070813 BCBS

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