OrganizationActive
Fairhaven Medical Supply Inc.
NPI 1083187819 · Prosthetic/Orthotic Supplier · Mundelein, IL
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.