Fahey, Patrick

Fahey, Patrick is an individual health care provider with primary practice located at 2160 S First Ave Luh-North Ent., Rm. 7604, Maywood IL 60153. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fahey, Patrick can be contacted via phone (708) 216-5402.

Contact Information

Primary practice address
2160 S First Ave Luh-North Ent., Rm. 7604 Maywood IL 60153
Phone: (708) 216-5402
Fax: (708) 216-1259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 36060576 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 36060576 Illinois

Profile Details

NPI number 1013994995
LBN Legal business name Fahey, Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Sep 3rd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013994995 NPPES
Illinois MEDICAID 36060576

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