Organization
CENTRAL ADDISON MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID FISHMAN MD (PRINCIPAL PARTNER)
(847) 685-9326
Entity
Organization
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(847) 685-9326
Mailing address
9460 IRVING PARK RD, PO BOX 2245, SCHILLER PARK, IL 60176-1959
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
08/22/2020
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