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FAIRBANKS, LLC
NPI 1619476405
Specialist in Long Grove, IL

Active since February 07, 2018
3880 SALEM LAKE DR STE A, LONG GROVE, IL 60047(312) 321-1225 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fairbanks, Llc NPPES

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

FAIRBANKS, LLC (NPI 1619476405) is a healthcare organization registered as a specialist in Long Grove, Illinois and active in the NPI registry since February 2018. The organization lists Lisa Carnes, Principal, as its authorized official.

NPPES Registry Identity

NPI1619476405
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFAIRBANKS, LLC
Location Address3880 SALEM LAKE DR STE ALong Grove, IL 60047-5292
Mailing Address3880 Salem Lake Dr Ste ALong Grove, IL 60047-5292
Phone(312) 321-1225
Organization SubpartNo
Authorized OfficialLisa CarnesPrincipal · (312) 450-6382
Enumeration DateFebruary 7, 2018
✔ NPI 1619476405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3880 SALEM LAKE DR STE A, Long Grove, IL 60047
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Other Identifiers 1

Medicaid208449AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fairbanks, LLC's NPI number?

The NPI number for Fairbanks, LLC is 1619476405. It was assigned to this organization in the NPPES registry on February 7, 2018.

Where is Fairbanks, LLC located?

Fairbanks, LLC is located at 3880 Salem Lake Dr Ste A, Long Grove, IL 60047. The listed phone number is (312) 321-1225.

What is Fairbanks, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fairbanks, LLC was last updated on February 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.