Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY EAMON FAHEY, M.D.
ActiveDR. TIMOTHY EAMON FAHEY, M.D. is a 2085N0904X healthcare provider located in PEORIA, Illinois. NPI 1861756652 is currently active in the NPPES registry. Verify at CMS.
2085N0904X · PEORIA, IL
Registration Details
- NPI Number
- 1861756652
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2012 (14.13023122606 yrs)
- Last Updated
- Nov 30, 2023
- Licenses
-
4301501070 (MI)2018008046 (MO)036.145291 (IL)4301501070 (MI)036.145291 (IL)
Practice Information
- Address
-
530 NE GLEN OAK AVEPEORIA, IL, 61637Browse IL providers · Browse ZIP 61637
- Phone
- 3097404272
- Primary Specialty
-
2085N0904X
2085N0904X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- 2085N0904X
Other 2085N0904X Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. PETER BAUMGARTEL | MD | 1932276672 |
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.