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NPI Code Detail

MEDICARE: DR. KENDRA FARABEE M.D.

MEDICARE: DR. KENDRA FARABEE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician036115887IL

General Provider Information

NPI Number : 1881844686
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENDRA FARABEE M.D.
Provider Business Mailing Address
First Line : 4646 N MARINE DR
Second Line :
City : CHICAGO
State : IL
Zip : 60640-5759
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2732 N HAMPDEN CT
Second Line :
City : CHICAGO
State : IL
Zip : 60614-1612
Country : US
Telephone Number : 773-248-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2008
Last Update Date : 02/20/2015

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