Individual provider · Type 1 NPI
Timothy Eamon Fahey, MD
Nuclear Radiology Physician · Peoria, IL
NPI number
1861756652
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 4301501070 (MI) |
| Diagnostic Radiology Physician | 2085R0202X | 2018008046 (MO) |
| Diagnostic Radiology Physician | 2085R0202X | 036.145291 (IL) |
| Diagnostic Radiology Physician | 2085R0202X | 4301501070 (MI) |
| Nuclear Radiology Physician Primary | 2085N0904X | 036.145291 (IL) |
| Nuclear Medicine Physician | 207U00000X | 036.145291 (IL) |
| Nuclear Medicine Physician | 207U00000X | 2018008046 (MO) |
| Nuclear Medicine Physician | 207U00000X | 4301501070 (MI) |
| Nuclear Radiology Physician | 2085N0904X | 2018008046 (MO) |
Nuclear Radiology Physician: A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
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About NPI 1861756652
Timothy Eamon Fahey, MD's National Provider Identifier is 1861756652, issued on Jun 27, 2012. The primary taxonomy on file is Nuclear Radiology Physician (2085N0904X), and the practice location is in Peoria, IL. The record was last updated on Nov 30, 2023.