MEDICARE: MRS. ELIZABETH FARBER CPNP

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
1	363LP0200X	Pediatric Nurse Practitioner	209007810	IL

General Provider Information

NPI Number	:	1619204286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH FARBER CPNP

Provider Business Mailing Address
First Line	:	387 S SCHMALE RD
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-2756
Country	:	US
Telephone Number	:	630-462-7957
Fax Number	:	630-462-9813

Provider Business Practice Location Address
First Line	:	387 S SCHMALE RD
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60188-2756
Country	:	US
Telephone Number	:	630-462-7957
Fax Number	:	630-462-9813

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2009
Last Update Date	:	12/08/2009

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