Johanne Theodule Fahy in Orland Park - Medical
Johanne Theodule Fahy - NPI 1821277682
Johanne Theodule Fahy is a Medical in Orland Park, Illinois. Johanne Theodule Fahy practices all healthcare services and medical treatments related to Medical. The NPI Number for Johanne Theodule Fahy is 1821277682. The last update date is 2022-09-15.
Johanne Theodule Fahy's current location address is 16450 104th Ave, Orland Park, Illinois. You can contact this provider via phone number 7083490070 and fax number 7083490077. The mailing address for Johanne Theodule Fahy is 16450 104th Ave, Orland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johanne Theodule Fahy |
|---|---|
| Address | 16450 104th Ave, Orland Park, Illinois |
| Phone Number | 7083490070 |
| Fax Number | 7083490077 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1821277682 |
|---|---|
| Provider Enumeration Date | 2007-10-29 |
| Last Updated Date | 2022-09-15 |
Provider Mailing Address Detail
| Address | 16450 104th Ave |
|---|---|
| City | Orland Park |
| State | Illinois (IL) |
| Post Code | 604675413 |
| Phone Number | 7083490070 |
| Fax Number | 7083490077 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 85003125 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Post Comment/ Review Below
What is the Johanne Theodule Fahy's 1821277682?
The Johanne Theodule Fahy's NPI (National Provider Identifier) Number is 1821277682. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Johanne Theodule Fahy is located?
The Johanne Theodule Fahy is situated at the following address: 16450 104Th Ave, Orland Park, IL, 604675413.
What is Johanne Theodule Fahy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Johanne Theodule Fahy is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Johanne Theodule Fahy receive its 1821277682 assignment from the Centers for Medicare & Medicaid Services?
The Johanne Theodule Fahy was assigned its 1821277682 by the Centers for Medicare & Medicaid Services on 2007-10-29.
When was the Johanne Theodule Fahy's information last updated?
The Johanne Theodule Fahy's information was last updated on 2022-09-15.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC