Individual
LEROY PENFIELD FABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST, SUITE 774, CHICAGO, IL 60612-3841
(312) 942-6725
Mailing address
1725 W HARRISON ST, SUITE 774, CHICAGO, IL 60612-3841
(312) 738-3732
(312) 738-9763
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
IL
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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