Fahey Medical Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FAHEY MEDICAL CENTER

Practice address

81 N Broadway St
Des Plaines, IL 60016-2347

Phone

(847) 699-4480

Fax

(847) 699-4483

NPI assigned

Feb 5, 2010

Last updated

Feb 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lisa Pennavaria

Title

Office Manager

Phone

(847) 297-2240

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1700118452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 W. GOLF ROAD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-297-2240",
            "fax_number": "847-803-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 N BROADWAY ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600162347",
            "telephone_number": "847-699-4480",
            "fax_number": "847-699-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAHEY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "PENNAVARIA",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-297-2240",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Espinoza
• Raymund Espiritu, OTR/L
• Evoke Wellness at Chicago
• Erin Elizabeth Fabbri
• Pamela Fagen, REGISTERED DIETITIAN
• Fahey Medical Center S.C.
• Umniyah R Faisal, RBT
• Holly Faletti
• Family Guidance Centers, Inc.
• Family Guidance Centers, Inc.

• Physical Therapy Clinic/Center in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.