Fahrenbach, Paul V

Fahrenbach, Paul V is an sole proprietor health care provider with primary practice located at 7447 W Talcott Ave Suite 209, Chicago IL 60631-3745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Fahrenbach, Paul V can be contacted via phone (773) 631-2728.

Contact Information

Primary practice address
7447 W Talcott Ave Suite 209 Chicago IL 60631-3745
Phone: (773) 631-2728
Fax: (773) 631-8083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036078292 Illinois

Profile Details

NPI number 1699768416
LBN Legal business name Fahrenbach, Paul V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Nov 21st, 2016 - 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 1699768416 NPPES
Illinois Other 110062166 RR MEDICARE
Illinois Other 976660 RR MEDICARE
Illinois MEDICAID 036-078292 RR MEDICARE

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