Individual
CHRISTOPHER FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 RANDALL RD, SUITE 202, GENEVA, IL 60134-4209
(630) 232-1818
(630) 232-1868
Mailing address
302 RANDALL RD, SUITE 202, GENEVA, IL 60134-4209
(630) 232-1818
(630) 232-1868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036065194
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065194
—
IL
Enumeration date
10/16/2006
Last updated
09/20/2011
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