Individual
MR. MICHAEL MARTIN FISHKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
750 E TERRA COTTA AVE STE C, CRYSTAL LAKE, IL 60014-3621
(847) 639-5800
Mailing address
508 ABBEYWOOD DR, CARY, IL 60013-2470
(847) 915-0547
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
212.010327
IL
224L00000X
Pedorthist
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
08/03/2026
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