Provider Demographics
NPI:1700053618
Name:FABBI, RACHAEL ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:ANN
Last Name:FABBI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E STATE ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2301
Mailing Address - Country:US
Mailing Address - Phone:331-248-0284
Mailing Address - Fax:331-248-0285
Practice Address - Street 1:410 E STATE ST
Practice Address - Street 2:SUITE A
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2301
Practice Address - Country:US
Practice Address - Phone:331-248-0284
Practice Address - Fax:331-248-0285
Is Sole Proprietor?:No
Enumeration Date:2008-05-09
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038.011165111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor