IndividualActive
Louis Fabicon, OT
NPI 1104178029 · Occupational Therapist · Chicago, IL
Provider details
- NPI number
- 1104178029
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- License
- 056-009879 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1747 E 95th St
Chicago, IL 60617
Phone: (773) 375-8711
Fax: (773) 375-8703
Street-level locationGet directions
Mailing address
600 Oakmont Ln Ste 600c
Westmont, IL 60559-5548
Additional practice locations (1)
- 2803 Butterfield RoadSuite 350Oak Brook, IL 60523-1177Phone: (630) 572-6301Fax: (630) 572-6314
Registry dates
- Enumerated
- 2012-10-03
- Last updated
- 2018-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.