Farbota, Leo M
Farbota, Leo M is an individual health care provider with primary practice located at 745 Fletcher Dr Suite 302, Elgin IL 60123-4747. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Farbota, Leo M can be contacted via phone (847) 695-6600.Contact Information
Primary practice address
745 Fletcher Dr Suite 302
Elgin IL 60123-4747
Phone: (847) 695-6600
Fax: (847) 695-4279
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 036070813 | Illinois |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036070813 | Illinois |
Profile Details
NPI number | 1982665196 |
---|---|
LBN Legal business name | Farbota, Leo M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 29th, 2006 |
Last updated | Dec 15th, 2021 - about 3 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 | 1982665196 | NPPES |
Other | 4515536 | BCBS | |
MEDICAID | 036070813 | BCBS |
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