DR. KEITH LEWIS FABRIQUE MD NPI 1225196710

NPI Information

  • NPI: 1225196710
  • Provider Name: DR. KEITH LEWIS FABRIQUE, MD
  • Classification: Preventive Medicine - 2083X0100X
  • Specialization: Occupational Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1750 E LAKE SHORE DR
    LOWER LEVEL
    DECATUR, IL
    ZIP 62521
  • Phone: (217) 425-2732

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NPI Details

DR. Keith Lewis Fabrique, MD is an occupational medicine preventive medicine in Decatur, IL. The provider is occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. DR. Keith Lewis Fabrique, MD NPI is 1225196710. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1750 E LAKE SHORE DR
LOWER LEVEL
DECATUR, IL
ZIP 62521
Phone: (217) 425-2732
Fax: (217) 425-4778

The NPI 1225196710 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 12/29/2021.

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
1207Q00000XFamily Medicine036050458ILLINOISNo
22083X0100XPreventive MedicineOccupational Medicine036050458ILLINOISYes

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: 11/21/2025

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