Individual
DIANA FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
845 W WILSON AVE, CHICAGO, IL 60640
(773) 506-4283
Mailing address
845 W WILSON AVE, CHICAGO, IL 60640-8090
(773) 751-7800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016637
IL
Other
Enumeration date
01/17/2018
Last updated
04/09/2024
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