Search › Illinois › 374U00000X
Canan Fairhurst
NPI 1528786951 · on the registry since 2022
Practice
- Address
- 484 W Boughton Rd
Bolingbrook, IL 60440 - Phone
- (630) 296-0942
- Organisation at this address
- Fairhurstcare Llc
Gorbold Behavioral Consulting, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois