Individual
DR. DALE W FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD.
Contact information
Practice address
1035 GROVE ST, DOWNERS GROVE, IL 60515-4636
(630) 926-4873
(630) 852-6335
Mailing address
1035 GROVE ST, DOWNERS GROVE, IL 60515-4636
(630) 926-4873
(630) 852-0740
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009890
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2223316
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/16/2007
Last updated
04/05/2019
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