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Jacqueline Fabricius — NPI 1932631728, Louisville, KY | NPI Central

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NPI 1932631728

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Jacqueline Fabricius

NPI 1932631728 · Pediatric Rheumatology Physician · Louisville, KY

Provider details

NPI number: 1932631728
Entity type: Individual
Primary specialty: Pediatric Rheumatology PhysicianAllopathic & Osteopathic Physicians
Sex: Female
Sole proprietor: No
License: 59349 (KY)

Specialties & taxonomies

Pediatric Rheumatology PhysicianPrimary2080P0216XLicense 59349 (KY)
Allopathic & Osteopathic Physicians
Pediatrics Physician208000000XLicense 59349 (KY)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

411 E Chestnut St # Street3

Louisville, KY 40202-1713

Phone: (502) 588-4910

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

Po Box 776879

Chicago, IL 60677-6879

Additional practice locations (1)

225 E Chicago Ave
Chicago, IL 60611-2991
Phone: (312) 227-4000

Registry dates

Enumerated: 2017-03-30
Last updated: 2024-08-01
Certified: 2024-08-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.