Fabrique, Keith Lewis

Fabrique, Keith Lewis is an individual health care provider with primary practice located at 1750 E Lake Shore Dr Lower Level, Decatur IL 62521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Fabrique, Keith Lewis can be contacted via phone (217) 425-2732.

Contact Information

Primary practice address
1750 E Lake Shore Dr Lower Level Decatur IL 62521
Phone: (217) 425-2732
Fax: (217) 425-4778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036050458 Illinois
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 036050458 Illinois

Profile Details

NPI number 1225196710
LBN Legal business name Fabrique, Keith Lewis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Dec 29th, 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.

Request for update

Popular Providers