Leo M Farbota is a Vascular Surgery in Elgin, Illinois. Leo M Farbota practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Leo M Farbota is 1982665196. The last update date is 2021-12-15.
Leo M Farbota's current location address is 745 Fletcher Dr, Elgin, Illinois. You can contact this provider via phone number 8476956600 and fax number 8476954279. The mailing address for Leo M Farbota is 745 Fletcher Dr, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo M Farbota |
|---|---|
| Address | 745 Fletcher Dr, Elgin, Illinois |
| Phone Number | 8476956600 |
| Fax Number | 8476954279 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1982665196 |
|---|---|
| Provider Enumeration Date | 2006-03-29 |
| Last Updated Date | 2021-12-15 |
Provider Mailing Address Detail
| Address | 745 Fletcher Dr |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601234747 |
| Phone Number | 8476956600 |
| Fax Number | 8476954279 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 36070813 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4515536 | BCBS | ||
| 36070813 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Leo M Farbota?
The Leo M Farbota has been issued the NPI (National Provider Identifier) 1982665196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Leo M Farbota is located?
The Leo M Farbota is situated at the following address: 745 Fletcher Dr, Elgin, IL, 601234747.
What is Leo M Farbota's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Leo M Farbota is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1982665196 to Leo M Farbota?
The Centers for Medicare & Medicaid Services originally issued the 1982665196 to Leo M Farbota on 2006-03-29.
As of what date were the details related to Leo M Farbota most recently updated or revised?
The information pertaining to Leo M Farbota, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-15.