Individual
DR. KEITH LEWIS FABRIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 E LAKE SHORE DR, LOWER LEVEL, DECATUR, IL 62521
(217) 425-2732
(217) 425-4778
Mailing address
1750 E LAKE SHORE DR, LOWER LEVEL, DECATUR, IL 62521
(217) 425-2732
(217) 425-4778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036050458
IL
2083X0100X
Occupational Medicine Physician
Primary
036050458
IL
Other
Enumeration date
12/05/2006
Last updated
12/29/2021
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