Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS MARY ELAINE MABAYAG FABRICANTE, PT, DPT
ActiveMISS MARY ELAINE MABAYAG FABRICANTE, PT, DPT is a Physical Therapy Assistant healthcare provider located in NORTHLAKE, Illinois. NPI 1972730786 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · NORTHLAKE, IL
Registration Details
- NPI Number
- 1972730786
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2009 (17.139840941745 yrs)
- Last Updated
- Apr 15, 2025
- Licenses
-
070.014844 (IL)11184024 (WI)
Practice Information
- Address
-
401 W LAKE STNORTHLAKE, IL, 601642435Browse IL providers · Browse ZIP 60164
- Phone
- 7082230494
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in NORTHLAKE, IL
| Name | Credential | NPI |
|---|---|---|
| MELISSA JACOB | — | 1891255659 |
| JITHIN GEORGE | PT, DPT | 1871128553 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.