FABIAN CARBONELL (NPI# 1295705119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295705119 |
| Entity Type | Individual |
| Full Name | FABIAN CARBONELL |
| Credential | MD |
| Practice Address |
4250 N Marine Dr Suite 236 Chicago IL 60613-1744 |
| Practice Telephone | 7734040160 |
| Practice Fax Number | 7734049876 |
| Mailing Telephone | 7734040160 |
| Mailing Fax Number | 7734049876 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
4250 N MARINE DR SUITE 236 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-1744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514623 | Sunsky Clinical Counseling | Counselor | 4250 N Marine Dr, Chicago, IL 60613-1744 | 2020-06-26 |
| 1447759584 | Brothers Pharmacy Inc | Pharmacy | 4250 N Marine Dr, Chicago, IL 60613-1744 | 2018-02-05 |
| 1275071813 | Catherine Lind | Nurse Practitioner | 4250 N Marine Dr, Apt 515, Chicago, IL 60613-1744 | 2017-02-02 |
| 1326418005 | Shifting Gears Psychotherapy, Ltd. | Social Worker | 4250 N Marine Dr, Suite 230, Chicago, IL 60613-1744 | 2015-10-06 |
| 1912374380 | Michael Lloyd | Social Worker | 4250 N Marine Dr, Second Floor, Chicago, IL 60613-1744 | 2015-09-01 |
| 1295155661 | Nancy Creech | Emergency Medicine | 4250 N Marine Dr, #521, Chicago, IL 60613 | 2014-04-23 |
| 1740603554 | Marko Mihailovic | Counselor | 4250 N Marine Dr, Apt # 1633, Chicago, IL 60613-1744 | 2014-01-30 |
| 1013221019 | Beth Oneil Inc | Social Worker | 4250 N Marine Dr, 804, Chicago, IL 60613-1744 | 2010-08-02 |
| 1194043398 | Therapeutic Counseling Services | Psychiatry & Neurology | 4250 N Marine Dr, Suite 236, Chicago, IL 60613-1744 | 2010-05-12 |
| 1093040594 | Clare Tucker Wildes | Social Worker | 4250 N Marine Dr, Suite 236, Chicago, IL 60613-1744 | 2009-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1952937104 | Bespoke Psychiatry | Psychiatry & Neurology | 727 W Madison St Apt 4302, Chicago, IL 60661-2580 | 2020-03-19 |
| 1588295125 | Chicago Psychiatric Partners LLC | Psychiatry & Neurology | 625 N Michigan Ave Ste 1910, Chicago, IL 60611-3178 | 2020-02-03 |
| 1841758646 | River North Psychiatry LLC | Psychiatry & Neurology | 405 N Wabash Ave Unit 3209, Chicago, IL 60611-5675 | 2019-03-11 |
| 1760952865 | Mandy Evans, Md, LLC | Psychiatry & Neurology | 2421 N Lawndale Ave, Chicago, IL 60647-2320 | 2018-11-30 |
| 1841773074 | Musec Medical LLC | Psychiatry & Neurology | 1520 W Walton St Unit 3, Chicago, IL 60642-5212 | 2018-09-13 |
| 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.