Timothy Eamon Fahey, M.D. Valid NPI

Individual provider · Nuclear Radiology Physician · Peoria, IL

NPI

1861756652

Type

Individual (Type 1)

Primary specialty

Nuclear Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085N0904X

License number

036.145291 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2012-06-27

Last updated

2023-11-30