Individual
KELLY ELIZABETH FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5682
Mailing address
666 W PEREGRINE DR, PALATINE, IL 60067-7006
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
135.001192
IL
Other
Enumeration date
03/28/2023
Last updated
06/23/2023
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