Individual
LOUIS P FABICON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1747 E 95TH ST, CHICAGO, IL 60617
(773) 375-8711
(773) 375-8703
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056-009879
IL
Other
Enumeration date
10/03/2012
Last updated
09/14/2018
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