Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHANNE THEODULE FAHY, PA-C
ActiveJOHANNE THEODULE FAHY, PA-C is a Medical Physician Assistant healthcare provider located in ORLAND PARK, Illinois. NPI 1821277682 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ORLAND PARK, IL
Registration Details
- NPI Number
- 1821277682
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2007 (18.750377285961 yrs)
- Last Updated
- Sep 15, 2022
- License
-
085003125 (IL)
Practice Information
- Address
-
16450 104TH AVEORLAND PARK, IL, 604675413Browse IL providers · Browse ZIP 60467
- Phone
- 7083490070
- Fax
- 7083490077
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ORLAND PARK, IL
| Name | Credential | NPI |
|---|---|---|
| JOELLE RICKEY | PHYSICIAN ASSISTANT | 1225164015 |
| MRS. LINDSAY MARIE GNADE | PHYSICIAN ASSISTANT | 1295923936 |
| LUCA JUUHL | — | 1841901261 |
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.