The Fairbanks Group

NPI #1649846874 in Oak Brook, Illinois

Provider Information

NPI Number: 1649846874
Entity Type: Organization
Organization Name: The Fairbanks Group
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 28, 2021
Last Updated: May 28, 2021

Practice Location

Address: 2625 BUTTERFIELD RD STE 103W
City: Oak Brook
State: Illinois
ZIP Code: 60523-3418
Phone: (630) 903-3854

Authorized Official

Name: DR. COLLEEN MARIE FAIRBANKS, PHD
Title: LICENSED CLINICAL PSYCHOLOGIST
Phone: (630) 903-3854

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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