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FAIRHAVEN MEDICAL SUPPLY INC.
NPI 1083187819
Prosthetic/Orthotic Supplier in Mundelein, IL

Active since January 04, 2019
608 E HAWLEY ST, MUNDELEIN, IL 60060(847) 566-5801 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Jan 4, 2019 (2 updates tracked since 2019).

About Fairhaven Medical Supply Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRHAVEN MEDICAL SUPPLY INC. (NPI 1083187819) is a healthcare organization registered as a prosthetic/orthotic supplier in Mundelein, Illinois and active in the NPI registry since January 2019. The organization lists Kashifa Khan, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1083187819
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameFAIRHAVEN MEDICAL SUPPLY INC.
Location Address608 E HAWLEY STMundelein, IL 60060-1945
Mailing Address625 Bryant AveBarrington, IL 60010-3020 · (513) 652-1452
Phone(847) 566-5801
Organization SubpartNo
Authorized OfficialKashifa KhanManaging Director · (847) 566-5801
Enumeration DateJanuary 4, 2019
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1083187819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
608 E HAWLEY ST, Mundelein, IL 60060
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairhaven Medical Supply Inc.'s NPI number?

The NPI number for Fairhaven Medical Supply Inc. is 1083187819. It was assigned to this organization in the NPPES registry on January 4, 2019.

Where is Fairhaven Medical Supply Inc. located?

Fairhaven Medical Supply Inc. is located at 608 E Hawley St, Mundelein, IL 60060. The listed phone number is (847) 566-5801.

What is Fairhaven Medical Supply Inc.'s specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Fairhaven Medical Supply Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.