Organization · Type 2 NPI
Fairbanks, LLC
Specialist · Long Grove, IL
NPI number
1619476405
Active
Practice location
3880 Salem Lake Dr Ste A
Long Grove, IL 60047-5292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1619476405
Fairbanks, LLC's National Provider Identifier is 1619476405, issued on Feb 7, 2018. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Long Grove, IL. The record was last updated on Feb 7, 2018.