Individual
KATARINA LORRAINE FABRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31627
MN
207R00000X
Internal Medicine Physician
71943
MN
207RC0000X
Cardiovascular Disease Physician
Primary
036169821
IL
Other
Enumeration date
03/30/2021
Last updated
05/29/2024
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