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Individual

LETITIA FABIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN-CNP

Contact information

Practice address
302 ELM ST, PROSPECT HEIGHTS, IL 60070-1456
(773) 807-4718
Mailing address
302 ELM ST, PROSPECT HEIGHTS, IL 60070-1456

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015385
IL
363LF0000X
Family Nurse Practitioner
209.015385
IL

Other

Enumeration date
02/27/2017
Last updated
04/06/2026
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