DR. KEITH LEWIS FABRIQUE MD
NPI 1225196710
Preventive Medicine - Occupational Medicine in Decatur, IL

Q: What is Keith Fabrique's NPI number?

The NPI number for Keith Fabrique is 1225196710. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Keith Fabrique's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Q: When was this NPI record last updated?

The NPPES record for Keith Fabrique was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 05, 2006

1750 E LAKE SHORE DR, LOWER LEVEL, DECATUR, IL 62521(217) 425-2732(217) 425-4778 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Keith Lewis Fabrique Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEITH LEWIS FABRIQUE MD (NPI 1225196710) is an individual occupational medicine provider in Decatur, Illinois, licensed in Illinois (036050458) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1225196710

Entity TypeIndividualMale

Primary Taxonomy2083X0100X

Provider Legal NameDR. KEITH LEWIS FABRIQUECredential: MD

Location Address1750 E LAKE SHORE DR, LOWER LEVELDecatur, IL 62521

Mailing Address1750 E Lake Shore Dr, Lower LevelDecatur, IL 62521 · (217) 425-2732 · Fax (217) 425-4778

Phone(217) 425-2732

Fax(217) 425-4778

Sole ProprietorNo

Enumeration DateDecember 5, 2006

Last NPPES UpdateDecember 29, 2021

NPPES CertifiedDecember 29, 2021

✔ NPI 1225196710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083X0100X

License✔ Licensed in IL · 036050458

Definition

Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 036050458 (IL)

1750 E LAKE SHORE DR, Decatur, IL 62521

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JATOI CLINIC, LTD.

Medical Genetics, Ph.D. Medical Genetics

1750 E LAKE SHORE DR, SUITE 100
DECATUR, IL 62521

Macon County (217) 464-2505

JOHN JOSEPH WHITE MD

Surgery

1750 E LAKE SHORE DR, STE 200
DECATUR, IL 62521

Macon County (217) 428-6300

VIKRAM S KOTWAL M.D

Internal Medicine (Gastroenterology)

1750 E LAKE SHORE DR, SUITE 310
DECATUR, IL 62521

Macon County (217) 464-1220

ANTONIANNETTE PATE FNP-C

Nurse Practitioner (Family)

1750 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 464-1440

DR. JON FREDRICK PETERSEN M.D.

Preventive Medicine (Occupational Medicine)

1750 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 464-1440

EMILYE JESSICA GRANT PHYSICIAN ASSISTANT

Physician Assistant

1750 E LAKE SHORE DR
DECATUR, IL 62521

Macon County (217) 464-1750

DR. VIKRAM BARPUJARI M.D.

Internal Medicine (Gastroenterology)

1750 E LAKE SHORE DR, SUITE 310
DECATUR, IL 62521

Macon County (217) 464-1220

DR. DAVID W HAYMES JR. MD

Plastic Surgery

1750 E LAKE SHORE DR, SUITE 300
DECATUR, IL 62521

Macon County (217) 464-1050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Fabrique's NPI number?

The NPI number for Keith Fabrique is 1225196710. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Keith Fabrique located?

Keith Fabrique practices at 1750 E Lake Shore Dr Lower Level, Decatur, IL 62521. The listed phone number is (217) 425-2732.

What is Keith Fabrique's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

What insurance does Keith Fabrique accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Keith Fabrique as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keith Fabrique was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.