Individual
ARNOLD FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-4531
(815) 872-1535
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(815) 875-4531
(815) 872-1535
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36066853
IL
207Q00000X
Family Medicine Physician
Primary
36066853
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036066853
—
IL
01
—
080041891
RAILROAD MEDICARE
IL
Enumeration date
06/09/2006
Last updated
04/15/2010
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