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Organization

FAHEY MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA PENNAVARIA (OFFICE MANAGER)
(847) 297-2240
Entity
Organization

Contact information

Practice address
81 N BROADWAY ST, DES PLAINES, IL 60016-2347
(847) 699-4480
(847) 699-4483
Mailing address
581 W. GOLF ROAD, DES PLAINES, IL 60016
(847) 297-2240
(847) 803-2380

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
02/05/2010
Last updated
02/05/2010
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