Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairbanks, LLC

Organization Specialist · NPI 1619476405

Fairbanks, LLC is a Specialist in Long Grove, Illinois. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3880 Salem Lake Dr Ste A
Long Grove, IL 60047-5292
Phone: (312) 321-1225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1619476405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Carnes — Principal · (312) 450-6382
NPI enumeratedFebruary 7, 2018
Last updated in NPPESFebruary 7, 2018
Mailing address3880 Salem Lake Dr Ste A, Long Grove, IL 60047-5292

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