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Contact Information

MARK S FISHER, MD
2151 WAUKEGAN RD
SUITE 110
BANNOCKBURN, IL60015-1885
 Phone: 847-236-1300
 Fax: 847-236-9549
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MARK S FISHER · (Male)

NPI # 1699768739
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2005
Last updated 04/22/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036063754
  • IL Medicaid 036063754
  • IL Other 36-3200051 FEIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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