DR. GARY RICHARD FAHRENBACH (NPI# 1043303803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043303803 |
| Entity Type | Individual |
| Full Name | DR. GARY RICHARD FAHRENBACH |
| Credential | M.D. |
| Practice Address |
7447 Talcott Suite 209 Chicago IL 60631-3713 |
| Practice Telephone | 7737631818 |
| Practice Fax Number | 7737639381 |
| Mailing Telephone | 7737631818 |
| Mailing Fax Number | 7737639381 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
03657385 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AF8479289 | 01 |
| Street Address |
7447 TALCOTT SUITE 209 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1811151236 | Pui-wing W. Dy | Internal Medicine | 1458 S Canal St, Chicago, IL 60607-5201 | 2008-07-15 |
| 1255519278 | Vladimir M Liarski | Internal Medicine | 5841 S Maryland Ave # Mc1052, Chicago, IL 60637-1447 | 2008-01-31 |
| 1649472440 | Kichul Ko | Internal Medicine | 5841 S Maryland Ave # Mc0930, Chicago, IL 60637-1443 | 2007-06-04 |
| 1841365939 | Dorothy Katherine Bloniarz | Internal Medicine | 5325 W Belmont Ave, Chicago, IL 60641-4104 | 2006-11-22 |
| 1790875797 | Robert S Katz | Internal Medicine | 1725 W Harrison St Ste 365, Chicago, IL 60612-3836 | 2006-10-13 |
| 1245278142 | Allan Pilloff | Internal Medicine | 1900 W Taylor St, Suite A, Chicago, IL 60612-3742 | 2006-06-03 |
| 1619921541 | Adrienne Margaret Burford-foggs | Internal Medicine | 233 E Erie St Ste 701, Chicago, IL 60611-5933 | 2006-05-22 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.