Organization
FAIRHAVEN MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KASHIFA KHAN (MANAGING DIRECTOR)
(847) 566-5801
Entity
Organization
Contact information
Practice address
608 E HAWLEY ST, MUNDELEIN, IL 60060-1945
(847) 566-5801
Mailing address
625 BRYANT AVE, BARRINGTON, IL 60010-3020
(513) 652-1452
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
09/11/2025
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