Individual
DR. JOEL KEITH FISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
34930 N US HIGHWAY 45, SUITE 109, LAKE VILLA, IL 60046-7537
(847) 662-1920
Mailing address
34930 N US HIGHWAY 45, SUITE 109, LAKE VILLA, IL 60046-7537
(847) 662-1920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006511
IL
Other
Enumeration date
08/19/2006
Last updated
08/18/2014
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