Espinoza, Fabiola Maria Del Carmen

Espinoza, Fabiola Maria Del Carmen is an individual health care provider with primary practice located at 555 W Court St Suite 108, Kankakee IL 60901-3664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Espinoza, Fabiola Maria Del Carmen can be contacted via phone (888) 220-6432.

Contact Information

Primary practice address
555 W Court St Suite 108 Kankakee IL 60901-3664
Phone: (888) 220-6432
Fax: (630) 734-4715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 036129492 Illinois

Profile Details

NPI number 1902112535
LBN Legal business name Espinoza, Fabiola Maria Del Carmen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Dec 17th, 2021 - about 4 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 1902112535 NPPES
Illinois MEDICAID 036129492
Illinois MEDICAID 20102310

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