Individual
MR. PAUL V FAHRENBACH
Active
Individual
MR. PAUL V FAHRENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036078292
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-078292
—
IL
01
—
110062166
RR MEDICARE
IL
01
—
976660
PTAN
IL
Enumeration date
08/26/2005
Last updated
11/21/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up