Individual provider Active NPI

Fabian Carbonell, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1295705119
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036098028 Issued in IL
Practice address
2845 N Sheridan Rd Ste 708
Chicago, IL 60657-7227
Phone
(773) 649-4261
Fax
(872) 243-2843
NPI assigned
Jan 24, 2006
Last updated
Aug 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036098028 IL Primary

Addresses

Primary practice location

2845 N Sheridan Rd Ste 708
Chicago, IL 60657-7227

Mailing address

PO Box 339
Winnetka, IL 60093-0339
Phone (773) 649-4261

Other identifiers 1

IdentifierTypeStateIssuer
036098028MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101117000858 IL Practitioner - Psychiatry 4789617465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fabian Carbonell MD SCGroup PAC ID 7416980172, 13 clinicians

Practice addresses (Care Compare)

2900 N Lakeshore Dr
Chicago, IL 60657-5640
Phone (773) 665-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fabian Carbonell MD SC Psychiatry CurrentSince May 1, 2000 Accepting new patients

Locations

2845 N Sheridan Rd
Ste 708
Chicago, IL 60657
Phone (773) 649-4261

2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240

2960 N Lakeshore
Chicago, IL 60657
Phone (773) 525-3045

331 W Surf St
Ste 708
Chicago, IL 60657
Phone (773) 649-4261

4250 N Marine Dr
Ste 236
Chicago, IL 60613
Phone (773) 572-5238

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1295705119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600930339",
            "telephone_number": "773-649-4261",
            "fax_number": "872-243-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 N SHERIDAN RD STE 708",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577227",
            "telephone_number": "773-649-4261",
            "fax_number": "872-243-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBONELL",
        "first_name": "FABIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036098028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098028",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.