| Dr Keith Lewis Fabrique, MD | |
|
1750 E Lake Shore Dr, Lower Level, Decatur, IL 62521 | |
| (217) 425-2732 | |
| (217) 425-4778 |
| Full Name | Dr Keith Lewis Fabrique |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Occupational Medicine |
| Location | 1750 E Lake Shore Dr, Decatur, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225196710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036050458 (Illinois) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 036050458 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Lewis Fabrique, MD 1750 E Lake Shore Dr, Lower Level, Decatur, IL 62521 Ph: (217) 425-2732 | Dr Keith Lewis Fabrique, MD 1750 E Lake Shore Dr, Lower Level, Decatur, IL 62521 Ph: (217) 425-2732 |
Dr. Jon Fredrick Petersen, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-1440 Fax: 217-464-1469 | |
Adills Moosa, DO Preventive Medicine Medicare: Medicare Enrolled Practice Location: 1750 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-1440 | |
Dr. Heather M O'hara, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2120 N 27th St, Decatur, IL 62526 Phone: 217-876-4600 |