Theodule Fahy, Johanne
Theodule Fahy, Johanne is an individual health care provider with primary practice located at 16450 104Th Ave , Orland Park IL 60467-5413. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Theodule Fahy, Johanne can be contacted via phone (708) 349-0070.Contact Information
Primary practice address
16450 104Th Ave
Orland Park IL 60467-5413
Phone: (708) 349-0070
Fax: (708) 349-0077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085003125 | Illinois |
Profile Details
| NPI number | 1821277682 |
|---|---|
| LBN Legal business name | Theodule Fahy, Johanne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Sep 15th, 2022 - 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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