Individual
DR. ELYSA B FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3612 LAKE AVE, WILMETTE, IL 60091-1000
(847) 256-9400
(847) 256-9412
Mailing address
3612 LAKE AVE, WILMETTE, IL 60091-1000
(847) 256-9400
(847) 256-9412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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