OrganizationActive
Fairbanks, LLC
NPI 1619476405 · Specialist · Long Grove, IL
Fairbanks, LLC is a Specialist organization in Long Grove, IL (NPI 1619476405).
Provider details
- NPI number
- 1619476405
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Carnes, Principal(312) 450-6382
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
3880 Salem Lake Dr Ste a
Long Grove, IL 60047-5292
Phone: (312) 321-1225
Street-level locationGet directions
Mailing address
3880 Salem Lake Dr Ste a
Long Grove, IL 60047-5292
Registry dates
- Enumerated
- 2018-02-07
- Last updated
- 2018-02-07
Frequently asked questions
- What is Fairbanks, LLC's NPI number?
- Fairbanks, LLC's National Provider Identifier (NPI) is 1619476405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairbanks, LLC?
- Fairbanks, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Fairbanks, LLC located?
- Fairbanks, LLC's practice location on file with NPPES is 3880 Salem Lake Dr Ste a, Long Grove, IL 60047-5292.
- What is Fairbanks, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairbanks, LLC is (312) 321-1225.
- Who is the authorized official for Fairbanks, LLC?
- The authorized official listed on Fairbanks, LLC's NPPES record is Lisa Carnes, Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairbanks, LLC's NPI active?
- Yes — Fairbanks, LLC's NPI (1619476405) is active in the NPPES registry as of the last update on 2018-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.