Patrick Fahey MD

NPI 1013994995 - Internal Medicine - 207RP1001X

NPI Details
NPI 1013994995
Gender Male
Enumeration Date 12/30/2005
Last Updated 09/03/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
2160 S FIRST AVE
LUH-NORTH ENT., RM. 7604
MAYWOOD IL, 60153, US
Phone (708) 216-5402
Fax (708) 216-1259
Business Location
2160 S FIRST AVE
LUH-NORTH ENT., RM. 7604
MAYWOOD IL, 60153, US
Phone (708) 216-5402
Fax (708) 216-1259
Toxanomy
Taxonomy Code 207RP1001X
License State Illinois
License Number 36060576
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According to our database, Patrick Fahey MD NPI is 1013994995, taxonomy code is 207RP1001X and license number is 36060576, license state is located at Illinois. Patrick Fahey MD physically located at 2160 S First Ave, Maywood IL, 60153. NPI Number Patrick Fahey MD has the Individual type.

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1013994995 NPI number is provided on an as is basis without warranty of any kind. 1013994995 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick Fahey MD are for informational purposes only.