Organization
ALEXIAN BROTHERS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILYA ISAAKOVICH FISHMAN MD (PHYSICIAN)
(718) 644-6778
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD STE 605, EBERLE MEDICAL OFFICE BUILDING, ELK GROVE VILLAGE, IL 60007-3362
(718) 644-6778
(847) 364-6720
Mailing address
800 BIESTERFIELD RD STE 605, EBERLE MEDICAL OFFICE BUILDING, ELK GROVE VILLAGE, IL 60007-3362
(718) 644-6778
(847) 364-6720
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
243397
NY
Other
Enumeration date
05/03/2007
Last updated
07/18/2007
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