Fahey, Timothy Eamon

Fahey, Timothy Eamon is an individual health care provider with primary practice located at 530 Ne Glen Oak Ave , Peoria IL 61637. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Medicine. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Fahey, Timothy Eamon can be contacted via phone (309) 740-4272.

Contact Information

Primary practice address
530 Ne Glen Oak Ave Peoria IL 61637
Phone: (309) 740-4272
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 4301501070 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2018008046 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.145291 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301501070 Michigan
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 036.145291 Illinois
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 036.145291 Illinois
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 2018008046 Missouri
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 4301501070 Michigan
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 2018008046 Missouri

Profile Details

NPI number 1861756652
LBN Legal business name Fahey, Timothy Eamon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2012
Last updated Nov 30th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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