Ellen Grace Fahey

Physician Assistant · Elgin, IL

Individual Active NPI

NPI number 1205643889

Practice location

1600 N Randall Rd Ste 400
Elgin, IL 60123-7805
Phone
(847) 381-8899

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NPI record

NPI
1205643889
Entity type
Individual (Type 1)
Enumeration date
December 16, 2024
Last updated
March 20, 2025
Certified
March 20, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085.011172 IL

About Ellen Fahey

Ellen Grace Fahey is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1600 N Randall Rd Ste 400, Elgin, IL 60123-7805. The NPI number 1205643889 was assigned on December 16, 2024 and the record was last updated on March 20, 2025.

Ellen Fahey lists a license in the registry: #085.011172 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ellen Grace Fahey?

The NPI number is 1205643889.

What is the phone number of Ellen Fahey?

The phone number listed for the practice location is (847) 381-8899.

Where is Ellen Fahey located?

1600 N Randall Rd Ste 400, Elgin, IL 60123-7805.

What is the taxonomy code for Ellen Fahey?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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