Fahrenbach, Gregory J

Fahrenbach, Gregory J is an individual health care provider with primary practice located at 7447 W Talcott Ave Suite 500 Northwest Orthopaedic Associates Ltd, Chicago IL 60631-3745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Fahrenbach, Gregory J can be contacted via phone (773) 631-7898.

Contact Information

Primary practice address
7447 W Talcott Ave Suite 500 Northwest Orthopaedic Associates Ltd Chicago IL 60631-3745
Phone: (773) 631-7898
Fax: (773) 631-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 036062547 Illinois

Profile Details

NPI number 1861475964
LBN Legal business name Fahrenbach, Gregory J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Feb 4th, 2015 - about 10 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 1861475964 NPPES
Illinois Other 200026425 RAILROAD MEDICARE
Illinois Other 131128300 RAILROAD MEDICARE
Illinois Other 1861475964 RAILROAD MEDICARE
Illinois Other 0021604007 RAILROAD MEDICARE
Illinois MEDICAID 036062547 RAILROAD MEDICARE
Illinois Other 0242720001 RAILROAD MEDICARE

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