Individual
CODY L FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2238 N HAMLIN AVE # 2, CHICAGO, IL 60647-2222
(630) 947-3310
Mailing address
2238 N HAMLIN AVE # 2, CHICAGO, IL 60647-2222
(630) 947-3310
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020219
IL
Other
Enumeration date
06/30/2018
Last updated
06/30/2018
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