Elizabeth Nord Fahrenbach (NPI# 1609003557, PAC ID# 5395979116) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1609003557 |
| PAC ID by PECOS | 5395979116 |
| Professional Enrollment ID | I20141106001356 |
| Full Name | Elizabeth Nord Fahrenbach |
| Organization Legal Name | NORTH BRANCH DERMATOLOGY LLC |
| Address |
7447 W Talcott Ave Suite 425 Chicago IL 60631-3704 |
| Phone Number | 7737636000 |
| Gender | F |
| Medical School | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 8921220914 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140117 | PRESENCE RESURRECTION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7447 W Talcott Ave, Suite 425, Chicago, IL 60631-3704 | 7737636000 | NORTH BRANCH DERMATOLOGY LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 100% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | NORTH BRANCH DERMATOLOGY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caryn Rachel Olshansky | Physician Assistant | North Branch Dermatology LLC | 7447 W Talcott Ave, Suite 425, Chicago, IL 60631-3704 |
| Street Address |
7447 W TALCOTT AVE SUITE 425 |
| City | CHICAGO |
| State | IL |
| Zip | 60631-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| R Scott Furda | Psychologist, Clinical | 7447 W Talcott Ave, Suite 259, Chicago, IL 60631-3718 | |
| Dana M Oneill | Family Medicine | Presence Healthcare Services | 7447 W Talcott Ave, Suite 182, Chicago, IL 60631-3712 |
| Shirley Moy | Nurse Practitioner | Primary Care Providers of Chicago Sc | 7447 W Talcott Ave, Suite 216, Chicago, IL 60631-3713 |
| Caryn Rachel Olshansky | Physician Assistant | North Branch Dermatology LLC | 7447 W Talcott Ave, Suite 425, Chicago, IL 60631-3704 |
| Gary R Fahrenbach | Rheumatology | 7447 W Talcott Ave, Suite 425, Chicago, IL 60631-3715 | |
| Julie Philbrick | Obstetrics/gynecology | Presence Healthcare Services | 7447 W Talcott Ave, Suite 418, Chicago, IL 60631-3715 |
| Amishi P Sawlani | Internal Medicine | 7447 W Talcott Ave, Suite 304, Chicago, IL 60631-3714 | |
| Brian J Donohue | Family Medicine | Presence Healthcare Services | 7447 W Talcott Ave, Suite 182, Chicago, IL 60631-3712 |
| Andrew L Sherman | Pulmonary Disease | Northwest Pulmonary Associates, S.c. | 7447 W Talcott Ave, Suite 542, Chicago, IL 60631-3716 |
| Kathryn D Skolarz | Family Medicine | 7447 W Talcott Ave, Suite 366, Chicago, IL 60631-3719 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Val Spunar | Podiatry | 6780 Northwest Hwy, Dr Henry Spunar, Chicago, IL 60631-1201 | |
| Ivelina Frantchechkova | Chiropractic | 6774n Northwest Hwy A, Chicago, IL 60631-1275 | |
| Terese M Black | Chiropractic | Wellbeing Chiropractic Sc | 6774n Northwest Hwy A, Chicago, IL 60631-1275 |
| Janice M Merten | Clinical Social Worker | 6650 N Northwest Hwy 201, Chicago, IL 60631-1307 | |
| Jack C Sanders | Clinical Social Worker | 6650 N Northwest Hwy 201, Chicago, IL 60631-1307 | |
| Angelika Danek | Clinical Social Worker | 6650 N Northwest Hwy, Suite 215, Chicago, IL 60631-1363 | |
| Domenic Anthony Cusano | Chiropractic | 6580 N Northwest Hwy, Chicago, IL 60631-1415 | |
| Roger D Roberts | Optometry | Senior Eye Associates Sc | 6601 N Avondale Ave, Suite 102, Chicago, IL 60631-1567 |
| Heidi Kalman | Clinical Social Worker | Urban Wellness Ltd | 6601 N Avondale Ave, Suite 101, Chicago, IL 60631-1567 |
| Ryan C Barnes | Optometry | Senior Eye Associates Sc | 6601 N Avondale Ave, Suite 102, Chicago, IL 60631-1567 |
| Find all physicians in zip 60631 | |||
| City | CHICAGO |
| Zip Code | 60631 |
| Specialty | DERMATOLOGY |
| City + Specialty | CHICAGO + DERMATOLOGY |
Please comment or provide details below to improve the information on Elizabeth Nord Fahrenbach.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.