KEITH L. FABRIQUE MD – NPI #1225196710
Preventive Medicine

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.

KEITH FABRIQUE is a physician located in DECATUR, IL. NPPES has assigned the NPI number 1225196710 to KEITH FABRIQUE on December 05, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2083X0100X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Occupational Medicine

The NPI profile was previously updated about 4 years ago on Dec 29, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEITH FABRIQUE below.

NPI Profile for
KEITH L. FABRIQUE

NPI Number
1225196710
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KEITH L. FABRIQUE
Credentials
MD
Primary location
1750 E LAKE SHORE DR
LOWER LEVEL
DECATUR, IL 62521
Phone: (217) 425-2732 Fax: (217) 425-4778
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Dec 29, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083X0100X
- Preventive Medicine / Occupational Medicine (Primary)
IL 036050458
207Q00000X
- Family Medicine
IL 036050458

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
1750 E LAKE SHORE DR,
DECATUR, IL 77025-1669