Faber, Theodore T.

Faber, Theodore T. is an individual health care provider with primary practice located at 2045 W Grand Ave , Chicago IL 60612-1576. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Faber, Theodore T. can be contacted via phone (086) 301-5347.

Contact Information

Primary practice address
2045 W Grand Ave Chicago IL 60612-1576
Phone: (086) 301-5347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 14276 South Carolina

Profile Details

NPI number 1558372995
LBN Legal business name Faber, Theodore T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Sep 8th, 2022 - 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 1558372995 NPPES
South Carolina MEDICAID 142768
South Carolina Other E137269482

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