Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johanne Theodule Fahy, PA-C

Individual provider Medical Physician Assistant · NPI 1821277682

Johanne Theodule Fahy, PA-C is a Physician Assistant in Orland Park, Illinois. Qualified in 2007, 19 years ago. Practices with Community Home Physicians LLC, a 80-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16450 104th Ave
Orland Park, IL 60467-5413
Phone: (708) 349-0070
Fax: (708) 349-0077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085003125 (IL)

Record details

NPI number1821277682
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 29, 2007
Last updated in NPPESSeptember 15, 2022
Certification dateSeptember 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Community Home Physicians Llc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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