JOHANNE THEODULE FAHY (NPI# 1821277682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821277682 |
| Entity Type | Individual |
| Full Name | JOHANNE THEODULE FAHY |
| Credential | PA-C |
| Practice Address |
31 W 155th St Harvey IL 60426-3556 |
| Practice Telephone | 7085965177 |
| Mailing Telephone | 7085965177 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2014-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085003125 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
31 W 155TH ST |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831199124 | Lisa K Wright | Pediatrics | 31 W 155th St, Harvey, IL 60426-3556 | 2005-07-28 |
| 1730739384 | Dawanda Davis | Counselor | 31 W 155th St, Harvey, IL 60426-3556 | 2019-09-16 |
| 1164084133 | Regina Channell Ruffin | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2019-06-30 |
| 1982176400 | Diana Funmilola Wells | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2018-12-21 |
| 1205311750 | Lashunda Denise Hill | Dental Hygienist | 31 W 155th St, Harvey, IL 60426-3556 | 2018-10-01 |
| 1013406180 | Mia Webster-cross | Registered Nurse | 31 W 155th St, Harvey, IL 60426-3556 | 2018-05-04 |
| 1538658547 | Eileen Mary Jurevis | Registered Nurse | 31 W 155th St, Harvey, IL 60426-3556 | 2018-05-04 |
| 1003303769 | Maira Ochoa | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2018-04-18 |
| 1043755697 | Beryl Armstrong | Counselor | 31 W 155th St, Harvey, IL 60426-3556 | 2017-01-05 |
| 1053855908 | Stephanie Liggons | Nurse Practitioner | 31 W 155th St, Harvey, IL 60426-3556 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457456105 | Jennifer Eidam Babiarz | Physician Assistant | 71 W. 156th St., Suite 401, Harvey, IL 60426-4265 | 2006-09-14 |
| 1205372901 | Margaret A Geisler | Physician Assistant | 71 W 156th St, Suite 308, Harvey, IL 60426-4260 | 2017-01-18 |
| 1972816163 | Gabrielle Guss | Physician Assistant | 2100 Woodmere Blvd, 200, Harvey, LA 70058-2294 | 2010-07-16 |
| 1043442544 | Megan Mary Dusak | Physician Assistant | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2009-08-17 |
| 1073527511 | Thomas Edward Reardon | Physician Assistant | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHANNE THEODULE FAHY.
| 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.