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Contact Information

TIMOTHY E FAHEY, MD
530 NE GLEN OAK AVE
PEORIA, IL61637
 Phone: 309-740-4272
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nuclear Radiology

2085N0904X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Nuclear Medicine

207U00000X 36 Physician/Nuclear Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY E FAHEY · (Male)

NPI Number 1861756652
Status Active
Credentials MD
Entity Individual
Enumeration date 06/27/2012
Last updated 11/30/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.145291
  • MI License # 4301501070
  • MO License # 2018008046
Hospital affiliation(s)
  • GRAHAM HOSPITAL ASSOCIATION - (Acute Care)
    210 WEST WALNUT STREET
    CANTON, IL 61520
  • OTTAWA REGIONAL HOSPITAL & HEALTHCARE CENTER - (Acute Care)
    1100 EAST NORRIS DRIVE
    OTTAWA, IL 61350
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
  • SAINT JAMES HOSPITAL - (Acute Care)
    2500 WEST REYNOLDS STREET
    PONTIAC, IL 61764
  • ST MARY MEDICAL CENTER - (Acute Care)
    3333 NORTH SEMINARY
    GALESBURG, IL 61401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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