Individual
JUDITH FAABORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1080 N 7TH ST, ROCHELLE, IL 61068-1533
(815) 562-6473
(815) 562-8737
Mailing address
1080 N 7TH ST, ROCHELLE, IL 61068-1533
(815) 562-6473
(815) 562-8737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051 289425
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361924025090
—
IL
Enumeration date
11/18/2011
Last updated
11/18/2011
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