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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CANAN FAIRHURST

Active

MRS. CANAN FAIRHURST is a Home Health Aide healthcare provider located in BOLINGBROOK, Illinois. NPI 1528786951 is currently active in the NPPES registry. Verify at CMS.

Home Health Aide · BOLINGBROOK, IL

Registration Details

NPI Number
1528786951
Provider Type
Individual
Gender
Female
NPI Issued
Aug 22, 2022 (4.0122332231016 yrs)
Last Updated
Aug 22, 2022
License
3002264 (IL)

Practice Information

Address
484 W BOUGHTON RD
BOLINGBROOK, IL, 604402398
Browse IL providers · Browse ZIP 60440
Phone
6302960942
Primary Specialty
Home Health Aide
374U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.