DALE W. FABER LCSW P.C. NPI 1003147232

NPI Information

NPI: 1003147232
Provider Name: DALE W. FABER, LCSW, P.C.
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1035 GROVE ST
DOWNERS GROVE, IL
ZIP 60515
Phone: (630) 926-4873
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DALE W. FABER, LCSW, P.C. is an adult mental health clinic center in Downers Grove, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DALE W. FABER, LCSW, P.C. NPI is 1003147232. The provider is registered as an organization entity type.

The provider's business location address is:

1035 GROVE ST
DOWNERS GROVE, IL
ZIP 60515-636
Phone: (630) 926-4873
Fax: (630) 852-6335

The provider's authorized official is Dale W Faber .
The authorized official title is Owner and has the following contact phone number (630) 926-4873.

The enumeration date for this NPI number is 1/28/2010 and was last updated on 7/9/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	149-008480	ILLINOIS	No
2	261QM0850X	Clinic/Center	Adult Mental Health	149-008480	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	708550	MEDICARE PIN	ILLINOIS
2	2223316	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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