Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Grace Fahey

Individual provider Physician Assistant · NPI 1205643889

Ellen Grace Fahey is a Physician Assistant in Elgin, Illinois. Qualified in 2024, 2 years ago. Practices with Derick Dermatology PLLC, a 64-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024

Practice location Address checks out

1600 N Randall Rd Ste 400
Elgin, IL 60123-7805
Phone: (847) 381-8899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.011172 (IL)

Record details

NPI number1205643889
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 16, 2024
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address1600 N Randall Rd Ste 400, Elgin, IL 60123-7805

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Derick Dermatology Pllc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Elgin