Organization
CENTRAL ADDISON MEDICAL GROUP LLC
Active
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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