1518708783 NPI number — MS. MARWEN FAYE YAMBOT ALBANO M.D.

Table of content: MS. MARWEN FAYE YAMBOT ALBANO M.D. (NPI 1518708783)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518708783 NPI number — MS. MARWEN FAYE YAMBOT ALBANO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALBANO
Provider First Name:
MARWEN FAYE
Provider Middle Name:
YAMBOT
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518708783
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2024 A SIMOUN STREET, BARANGAY 498
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAMPALOC
Provider Business Mailing Address State Name:
MANILA
Provider Business Mailing Address Postal Code:
00000
Provider Business Mailing Address Country Code:
PH
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20201 S. CRAWFORD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OLYMPIA FIELOS
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
708-747-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/03/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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