Faber, Dale W
Faber, Dale W is an sole proprietor health care provider with primary practice located at 1035 Grove St , Downers Grove IL 60515-4636. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Faber, Dale W can be contacted via phone (630) 926-4873.Contact Information
Primary practice address
1035 Grove St
Downers Grove IL 60515-4636
Phone: (630) 926-4873
Fax: (630) 852-6335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071009890 | Illinois |
Profile Details
| NPI number | 1881718948 |
|---|---|
| LBN Legal business name | Faber, Dale W |
| Credentials | PHD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Apr 5th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881718948 | NPPES |
| Illinois | Other | 2223316 | BLUE CROSS BLUE SHIELD |
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