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PATRICK FAHEY MD NPI 1013994995


NPI Information

NPI: 1013994995
Provider Name: PATRICK FAHEY, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

Address:
2160 S FIRST AVE
LUH-NORTH ENT., RM. 7604
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-5402
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Patrick Fahey, MD is a critical care medicine internal medicine in Maywood, IL. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Patrick Fahey, MD NPI is 1013994995. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2160 S FIRST AVE
LUH-NORTH ENT., RM. 7604
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-5402
Fax: (708) 216-1259

The enumeration date for this NPI number is 12/30/2005 and was last updated on 9/3/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary Disease36060576ILLINOISNo
2207RC0200XInternal MedicineCritical Care Medicine36060576ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1L80878MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2C40087MEDICARE UPIN
3416221MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
436060576MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.