ERNESTO NORONA FABI MD NPI 1851460737

NPI Information

NPI: 1851460737
Provider Name: ERNESTO NORONA FABI, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
217 S LOCUST ST
PANA MEDICAL GROUP LLC
PANA, IL
ZIP 62557
Phone: (217) 562-2143
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Ernesto Norona Fabi, MD is a general practice in Pana, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Ernesto Norona Fabi, MD NPI is 1851460737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

217 S LOCUST ST
PANA MEDICAL GROUP LLC
PANA, IL
ZIP 62557-998
Phone: (217) 562-2143
Fax: (217) 562-2251

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice			ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	P04929	MEDICARE ID-TYPE UNSPECIFIED
2	119000	OTHER	3RD PARTY ADMIN HEALTH LI
3	C37333	MEDICARE UPIN
4	1115581	OTHER	BCBS HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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