DR. GREGORY J FAHRENBACH (NPI# 1861475964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861475964 |
| Entity Type | Individual |
| Full Name | DR. GREGORY J FAHRENBACH |
| Credential | MD |
| Practice Address |
7447 W Talcott Ave Suite 500 Northwest Orthopaedic Associates Ltd Chicago IL 60631-3745 |
| Practice Telephone | 7736317898 |
| Practice Fax Number | 7736313005 |
| Mailing Telephone | 7736317898 |
| Mailing Fax Number | 7736313005 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
036062547 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| US DEPT OF LABOR | 131128300 | 01 | |
| IL | RAILROAD MEDICARE | 200026425 | 01 |
| IL | BSIL | 0021604007 | 01 |
| IL | DME | 0242720001 | 01 |
| IL | 036062547 | 05 | |
| IL | NPI | 1861475964 | 01 |
| Street Address |
7447 W TALCOTT AVE SUITE 500 NORTHWEST ORTHOPAEDIC ASSOCIATES LTD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960145 | Paul J Toussaint | Pediatrics | 7447 W Talcott Ave, Ste 467, Chicago, IL 60631-3715 | 2005-05-27 |
| 1194344721 | Alvin Au-yeung | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Chicago, IL 60631-3745 | 2020-04-14 |
| 1639680267 | Jeffrey Moorhead | Physical Therapist | 7447 W Talcott Ave, Ste 500, Chicago, IL 60631-3716 | 2017-10-23 |
| 1770019796 | Brayton Kiedrowski | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Chicago, IL 60631-3745 | 2017-05-11 |
| 1750818555 | Amber Ijaz | Family Medicine | 7447 W Talcott Ave, Resurrection Family Medicine, Ste. 182, Chicago, IL 60631-3745 | 2017-05-11 |
| 1548796683 | Jordan Oneill | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Suite 182, Chicago, IL 60631-3745 | 2017-05-10 |
| 1588190821 | Asha Anne | Student in an Organized Health Care Education/Training Program | 7447 W Talcott Ave, Resurrection Family Medicine Ste. 182, Chicago, IL 60631-3745 | 2017-05-05 |
| 1033644992 | Caryn Rachel Olshansky | Physician Assistant | 7447 W Talcott Ave, Suite 425, Chicago, IL 60631-3745 | 2017-04-27 |
| 1982139945 | Sabina Antonina Gal | Counselor | 7447 W Talcott Ave, Suite 448, Chicago, IL 60631-3745 | 2017-04-27 |
| 1538512934 | Aneta Zima | Nurse Practitioner | 7447 W Talcott Ave, Suite 248, Chicago, IL 60631-3745 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144721077 | Alana Eatinger | Orthopaedic Surgery | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-02-26 |
| 1629496609 | Rick Wang | Orthopaedic Surgery | 1740 W Taylor St, Chicago, IL 60612-7232 | 2014-04-07 |
| 1528128089 | James Kapotas | Orthopaedic Surgery | 1901 W Harrison St, Chicago, IL 60612-3714 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467645390 | Michal Pawel Zlowodzki | Orthopaedic Surgery | 2350 N Rockton Ave Fl 5, Rockford, IL 61103-3600 | 2007-08-23 |
| 1578971487 | Northern Illinois Trauma Regional Orthopaedics, LLC | Orthopaedic Surgery | 1235 N Mulford Rd, Suite 103, Rockford, IL 61107-3879 | 2014-07-24 |
| 1073872248 | Garin Gil Hecht | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-05-09 |
| 1629245717 | Richard A Geline M.d.s.c | Orthopaedic Surgery | 1225 Central Rd, Glenview, IL 60025-4349 | 2008-05-08 |
| 1912123134 | Matthew Paul Gardner | Orthopaedic Surgery | 800 N 1st St, Springfield, IL 62702-3719 | 2007-04-17 |
| 1639294952 | Steven Arthur Chandler | Orthopaedic Surgery | 9618 Southwest Highway, Oak Lawn, IL 60453-2862 | 2007-03-20 |
| 1548357668 | Erika Mitchell | Orthopaedic Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2006-10-09 |
| 1255314217 | Forrest Riordan | Orthopaedic Surgery | 1200 W State St, Rockford, IL 61102-2112 | 2005-11-23 |
| 1467452318 | Mary K Morrell | Orthopaedic Surgery | 901 Biesterfield Rd, Suite 300, Elk Grove Village, IL 60007-3392 | 2005-07-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.