TIMOTHY EAMON FAHEY

PEORIA, IL
NPI1861756652
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085N0904X Radiology, Nuclear Radiology
(Licence: IL  036.145291)
Additional Taxonomies2085N0904X Radiology, Nuclear Radiology
(Licence: MI  4301501070)
2085R0202X Radiology, Diagnostic Radiology
(Licence: MO  2018008046)
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  036.145291)
2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301501070)
207U00000X Nuclear Medicine
(Licence: IL  036.145291)
207U00000X Nuclear Medicine
(Licence: MO  2018008046)
207U00000X Nuclear Medicine
(Licence: MI  4301501070)
2085N0904X Radiology, Nuclear Radiology
(Licence: MO  2018008046)
Enumeration Date2012-06-27
Last Update Date2023-11-30
Business Address
Dr. TIMOTHY EAMON FAHEY M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637
Phone number: 309-740-4272
Mailing Address
Dr. TIMOTHY EAMON FAHEY M.D.
111 OAKWOOD RD
EAST PEORIA, IL 61611-1853
Phone number: 309-740-4272