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Search › Illinois › 2083X0100X

Keith Fabrique, MD

NPI 1225196710 · on the registry since 2006

Practice

Address
1750 E Lake Shore Dr
Lower Level
Decatur, IL 62521
Phone
(217) 425-2732
Fax
(217) 425-4778
Organisation at this address
Jatoi Clinic, Ltd.
Decatur Neurological Associates Ltd.
Surgical Specialists Of Central Illinois Sc
St Marys Hospital Decatur Of The Hospital Sisters Of The Third Order
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
2083X0100X
2083X0100X
Also registered as
207Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois