Organization
THOMAS L. FISHER, M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L. FISHER, SR. M.D. (PRESIDENT)
(312) 922-3011
Entity
Organization
Contact information
Practice address
47 W POLK ST LBBY G1, CHICAGO, IL 60605-2087
(312) 922-3011
(312) 922-5875
Mailing address
47 W POLK ST LBBY G1, CHICAGO, IL 60605-2087
(312) 922-3011
(312) 922-5875
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
07/07/2006
Last updated
11/30/2011
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