Fahrenbach, Elizabeth Nord
Fahrenbach, Elizabeth Nord is an individual health care provider with primary practice located at 7411 N Milwaukee Ave , Niles IL 60714-3707. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Fahrenbach, Elizabeth Nord can be contacted via phone (773) 763-6000.Contact Information
Primary practice address
7411 N Milwaukee Ave
Niles IL 60714-3707
Phone: (773) 763-6000
Fax: (773) 763-6000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 60769-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 60769-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 60769-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 125.056349 | Illinois |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 60769-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 60769-20 | Wisconsin |
Profile Details
| NPI number | 1609003557 |
|---|---|
| LBN Legal business name | Fahrenbach, Elizabeth Nord |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2009 |
| Last updated | Jun 23rd, 2022 - about 2 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 | 1609003557 | NPPES |
| Wisconsin | MEDICAID | 1609003557 |
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