Individual
DR. TIMOTHY J FAHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5943 W MONTROSE AVE, CHICAGO, IL 60634-1629
(773) 685-0363
(773) 685-0944
Mailing address
5943 W MONTROSE AVE, CHICAGO, IL 60634-1629
(773) 685-0363
(773) 685-0944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-007793
IL
152WC0802X
Corneal and Contact Management Optometrist
046-007793
IL
152WL0500X
Low Vision Rehabilitation Optometrist
046007793
IL
152WP0200X
Pediatric Optometrist
046-007793
IL
152WS0006X
Sports Vision Optometrist
046007793
IL
152WV0400X
Vision Therapy Optometrist
046-007793
IL
152WX0102X
Occupational Vision Optometrist
046007793
IL
Other
Enumeration date
04/06/2007
Last updated
04/30/2012
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