Individual
DR. RAYMOND FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 200, CHICAGO, IL 60631-3745
(773) 774-5020
(773) 774-4967
Mailing address
7447 W TALCOTT AVE, SUITE 200, CHICAGO, IL 60631-3745
(773) 774-5020
(773) 774-4967
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036055502
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036055502
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055502
—
IL
Enumeration date
03/27/2006
Last updated
03/31/2016
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