David Favreau Fardon in Chicago - Orthopaedic Surgery
David Favreau Fardon - NPI 1811964679
David Favreau Fardon is a Orthopaedic Surgery in Chicago, Illinois. David Favreau Fardon practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for David Favreau Fardon is 1811964679. The last update date is 2009-11-23.
David Favreau Fardon's current location address is 1611 W Harrison St, Chicago, Illinois. You can contact this provider via phone number 3122434244 and fax number 3129421517. The mailing address for David Favreau Fardon is 1611 W Harrison St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Favreau Fardon |
|---|---|
| Address | 1611 W Harrison St, Chicago, Illinois |
| Phone Number | 3122434244 |
| Fax Number | 3129421517 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1811964679 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2009-11-23 |
Provider Mailing Address Detail
| Address | 1611 W Harrison St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606123841 |
| Phone Number | 3122434244 |
| Fax Number | 3129421517 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 36118859 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36118859 | IL | -- | |
| 207073 | IL | MEDICARE PTAN LOCALITY 15 | |
| 1633878 | IL | BCBS | |
| 207067 | IL | MEDICARE PTAN LOCALITY 16 | |
| 4457824 | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to David Favreau Fardon by the Centers for Medicare & Medicaid Services?
The David Favreau Fardon has been issued the NPI (National Provider Identifier) 1811964679, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where David Favreau Fardon is located?
The David Favreau Fardon is situated at the following address: 1611 W Harrison St, Chicago, IL, 606123841.
What is the area of specialization for David Favreau Fardon, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Favreau Fardon is Orthopaedic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811964679 to David Favreau Fardon?
The Centers for Medicare & Medicaid Services originally issued the 1811964679 to David Favreau Fardon on 2006-03-01.
When was the information regarding David Favreau Fardon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David Favreau Fardon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-11-23.