Dr. Gary Richard Fahrenbach
Rheumatology
7447 Talcott Suite 209
Chicago
, Illinois 60631-3713
Dr. Gary Richard Fahrenbach
Rheumatology
7447 Talcott Suite 209
Chicago
, Illinois 60631-3713
(773) 763-9381
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Gary Richard Fahrenbach
- 7447 Talcott Suite 209
- Chicago, IL
- Zip : 60631-3713
- Fax : (773) 763-9381
- Phone : (773) 763-1818
Second Address
- Dr. Gary Richard Fahrenbach
- 7447 Talcott Suite 209
- Chicago, IL
- Zip : 60631-3713
- Fax : (773) 763-9381
- Phone : (773) 763-1818
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | 03657385 | IL |
National Provider Identifier
| NPI | 1043303803 |
|---|---|
| Provider Name | Dr. Gary Richard Fahrenbach |
| First Address | Chicago, IL 60631-3713 |
| Second Address | Chicago, IL 60631-3713 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| AF8479289 | DEA (01) | |
| C45537 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.