Search › Illinois › 101YM0800X
Fabian Churchill, LSW
NPI 1447055462 · on the registry since 2025
Practice
- Address
- 6360 Old Highway 13
Carbondale, IL 62901 - Phone
- (815) 557-1433
- Fax
- (618) 997-7972
Additional practice sites
- 1410 W Chestnut St, Marion, IL
- 11264 Il Route 37, Marion, Il, IL
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-14
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