Individual
THEODORE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2923 N CALIFORNIA AVE, SUITE 300, CHICAGO, IL 60618-7702
(773) 777-9900
(773) 777-5927
Mailing address
900 RAND RD STE 300, ATTN: RAQUEL LEON, DES PLAINES, IL 60016-2359
(847) 324-3976
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-118808
IL
Other
Enumeration date
07/13/2006
Last updated
12/06/2021
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