SearchIllinois225100000X

Gloen Fabila, RPT

NPI 1427249770 · on the registry since 2007 · sole proprietor

Practice

Address
1750 N 4th Ave Apt 8
Canton, IL 61520
Phone
(309) 357-0985

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-08-01

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