IndividualActive
Timothy Fahey, M.D.
NPI 1861756652 · Nuclear Radiology Physician · Peoria, IL
Provider details
- NPI number
- 1861756652
- Entity type
- Individual
- Primary specialty
- Nuclear Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301501070 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Nuclear Medicine Physician207U00000X
Practice location
530 Ne Glen Oak Ave
Peoria, IL 61637
Phone: (309) 740-4272
Approximate (ZIP-level) locationGet directions
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Registry dates
- Enumerated
- 2012-06-27
- Last updated
- 2023-11-30
- Certified
- 2023-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.