Dr. Keith Lewis Fabrique, MD
Dr. Keith Lewis Fabrique, MD is a Family Medicine Physician in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1750 E Lake Shore Dr Lowr LevelDecatur, IL 62521
Phone: (217) 425-2732
Fax: (217) 425-4778
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Medicine Physician (primary) | Taxonomy 2083X0100X · Licence 036050458 (IL) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 036050458 (IL) |
Record details
| NPI number | 1225196710 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | December 5, 2006 |
| Last updated in NPPES | December 29, 2021 |
| Certification date | December 29, 2021 |
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