Mr Paul V Fahrenbach, MD | |
7447 W Talcott Ave, Suite 209, Chicago, IL 60631-3745 | |
(773) 631-2728 | |
(773) 631-8083 |
Full Name | Mr Paul V Fahrenbach |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 37 Years |
Location | 7447 W Talcott Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699768416 | NPI | - | NPPES |
110062166 | Other | IL | RR MEDICARE |
976660 | Other | IL | PTAN |
036-078292 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 036078292 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amita Health Resurrection Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presence Healthcare Services | 2860396769 | 317 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
Entity Name | Gi Partners Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548613995 PECOS PAC ID: 2567758295 Enrollment ID: O20160907001020 |
Mailing Address | Practice Location Address |
---|---|
Mr Paul V Fahrenbach, MD 7447 W Talcott Ave, Suite 209, Chicago, IL 60631-3745 Ph: (773) 631-2728 | Mr Paul V Fahrenbach, MD 7447 W Talcott Ave, Suite 209, Chicago, IL 60631-3745 Ph: (773) 631-2728 |
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