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DR. DAVID FAVREAU FARDON M.D. NPI 1811964679


NPI Information

NPI: 1811964679
Provider Name: DR. DAVID FAVREAU FARDON, M.D.
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Address:
1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612
Phone: (312) 243-4244
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DR. David Favreau Fardon, M.D. is an orthopaedic surgery in Chicago, IL. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. David Favreau Fardon, M.D. NPI is 1811964679. 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:

1611 W HARRISON ST
STE 400
CHICAGO, IL
ZIP 60612-841
Phone: (312) 243-4244
Fax: (312) 942-1517

The enumeration date for this NPI number is 3/1/2006 and was last updated on 11/23/2009.


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
1207X00000XOrthopaedic Surgery036118859ILLINOISYes

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
1K46349-DUPAGE COUNTYMEDICARE PINILLINOIS
2207073OTHERILLINOISMEDICARE PTAN LOCALITY 15
3K46348-COOK COUNTYMEDICARE PINILLINOIS
41633878OTHERILLINOISBCBS
5036118859MEDICAIDILLINOIS
64457824OTHERAETNA
7207067OTHERILLINOISMEDICARE PTAN LOCALITY 16

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: 4/28/2024

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