LOUIS P FABICON (NPI# 1104178029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104178029 |
| Entity Type | Individual |
| Full Name | LOUIS P FABICON |
| Credential | OT |
| Practice Address |
1747 E 95th St Chicago IL 60617 |
| Mailing Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 7733758711 |
| Practice Fax Number | 7733758703 |
| Mailing Telephone | 6305756200 |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056-009879 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2803 Butterfield Road, Suite 350, Oak Brook, IL 605231177 | 6305726301 | 6305726314 |
| Street Address |
1747 E 95TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306988670 | Kenisha Walker | Physical Therapist | 1747 E 95th St, Chicago, IL 60617-4708 | 2007-02-13 |
| 1023550720 | Nathaniel Mancillas | Physical Therapist | 1747 E 95th St, Chicago, IL 60617-4708 | 2016-11-11 |
| 1245603745 | Katlyn Y Nasseri | Physical Therapist | 1747 E 95th St, Chicago, IL 60617-4708 | 2015-11-05 |
| 1932576303 | Callan E Shawcross | Physical Therapist | 1747 E 95th St, Chicago, IL 60617-4708 | 2015-09-01 |
| 1235554494 | Tiffany J Mclean | Physical Therapist | 1747 E 95th St, Chicago, IL 60617-4708 | 2014-02-25 |
| 1891030698 | Athletico Ltd | Physical Therapist | 1747 E 95th St, Chicago, IL 60617-4708 | 2012-12-05 |
| 1437292158 | Niraj Vora | Physical Therapist | 1747 E 95th St, Chicago, IL 60617-4708 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214019 | Kelly Shavonne Johnson-means | Occupational Therapist | 715 N Sawyer Ave, Chicago, IL 60624-1532 | 2020-10-28 |
| 1245837129 | Lisa Marie Park | Occupational Therapist | 4960 W Argyle St Apt 2, Chicago, IL 60630-4888 | 2020-10-05 |
| 1033728480 | Emily Mock | Occupational Therapist | 2739 N Mildred Ave Apt 3, Chicago, IL 60614-1459 | 2020-07-30 |
| 1699390781 | Katrina Morrissey | Occupational Therapist | 1722 N Newcastle Ave, Chicago, IL 60707-4422 | 2020-06-15 |
| 1225651623 | Amber Shannon-adams | Occupational Therapist | 7704 S Seeley Ave, Chicago, IL 60620-5747 | 2020-05-20 |
| 1558984989 | Timothy Hunt | Occupational Therapist | 2950 N Allen Ave Apt 2, Chicago, IL 60618-6702 | 2020-05-20 |
| 1881217461 | Demi Moses | Occupational Therapist | 3049 W Harrison St, Chicago, IL 60612-3342 | 2020-05-18 |
| 1144842683 | Mary Bares | Occupational Therapist | 6800 N Ozark Ave, Chicago, IL 60631-1277 | 2020-05-07 |
| 1689293920 | Rose D Duffy | Occupational Therapist | 1740 W Taylor St # C100, Chicago, IL 60612-7232 | 2020-04-15 |
| 1730708546 | Jasmine Darlene Murphy | Occupational Therapist | 12322 S Wallace St, Chicago, IL 60628-6420 | 2020-04-11 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.