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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1295705119 NPPES
Illinois MEDICAID 036098028

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