OrganizationActive
Fairhaven Medical Supply Inc.
NPI 1083187819 · Prosthetic/Orthotic Supplier · Mundelein, IL
Fairhaven Medical Supply Inc. is a Prosthetic/Orthotic Supplier organization in Mundelein, IL (NPI 1083187819).
Provider details
- NPI number
- 1083187819
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kashifa Khan, Managing Director(847) 566-5801
Specialties & taxonomies
Suppliers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
608 E Hawley St
Mundelein, IL 60060-1945
Phone: (847) 566-5801
Street-level locationGet directions
Mailing address
625 Bryant Ave
Barrington, IL 60010-3020
Registry dates
- Enumerated
- 2019-01-04
- Last updated
- 2025-09-11
Frequently asked questions
- What is Fairhaven Medical Supply Inc.'s NPI number?
- Fairhaven Medical Supply Inc.'s National Provider Identifier (NPI) is 1083187819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairhaven Medical Supply Inc.?
- Fairhaven Medical Supply Inc. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Fairhaven Medical Supply Inc. located?
- Fairhaven Medical Supply Inc.'s practice location on file with NPPES is 608 E Hawley St, Mundelein, IL 60060-1945.
- What is Fairhaven Medical Supply Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fairhaven Medical Supply Inc. is (847) 566-5801.
- Who is the authorized official for Fairhaven Medical Supply Inc.?
- The authorized official listed on Fairhaven Medical Supply Inc.'s NPPES record is Kashifa Khan, Managing Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairhaven Medical Supply Inc.'s NPI active?
- Yes — Fairhaven Medical Supply Inc.'s NPI (1083187819) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.