| Letitia Fabian, APN-CNP | |
|
302 Elm St, Prospect Heights, IL 60070-1456 | |
| (773) 807-4718 | |
| Not Available |
| Full Name | Letitia Fabian |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 302 Elm St, Prospect Heights, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881134781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.015385 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209015385 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3372 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Letitia Fabian, APN-CNP 302 Elm St, Prospect Heights, IL 60070-1456 Ph: () - | Letitia Fabian, APN-CNP 302 Elm St, Prospect Heights, IL 60070-1456 Ph: (773) 807-4718 |
Polina Goridko-esquivel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 809 Rose Ave, Prospect Heights, IL 60070 Phone: 773-757-7198 | |
Mrs. Pamela Joyce Haerr, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 102 Creek Ct, Prospect Heights, IL 60070 Phone: 312-572-4690 Fax: 312-572-4659 |