Healthcare Provider Details

I. General information

NPI: 1023903598
Provider Name (Legal Business Name): FAE KOBERNIK
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4711 N BROADWAY ST
CHICAGO IL
60640-4908
US

IV. Provider business mailing address

4711 N BROADWAY ST
CHICAGO IL
60640-4908
US

V. Phone/Fax

Practice location:
  • Phone: 773-234-3212
  • Fax:
Mailing address:
  • Phone: 773-234-3212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: