Individual
ADRIENNE FAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9057 S HOYNE AVE, CHICAGO, IL 60643-6405
(773) 610-4664
Mailing address
3426 W 116TH PL, CHICAGO, IL 60655-3631
(773) 899-1589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.006652
IL
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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