Letitia Fabian, | |
302 Elm St, Prospect Heights, IL 60070-1456 | |
(773) 807-4718 | |
Not Available |
Full Name | Letitia Fabian |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 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) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North Shore University Healthsystem Faculty Practice Associates | 2163334699 | 1751 |
Entity Name | Rehabilitation Associates Of The Midwest, S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871546473 PECOS PAC ID: 4880597020 Enrollment ID: O20040518001108 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
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, 302 Elm St, Prospect Heights, IL 60070-1456 Ph: () - | Letitia Fabian, 302 Elm St, Prospect Heights, IL 60070-1456 Ph: (773) 807-4718 |
Polina Goridko-esquivel, Nurse Practitioner Medicare: Medicare Enrolled 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 |