Individual
DR. KATHY A FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4905 OLD ORCHARD CTR, SKOKIE, IL 60077-1425
(847) 679-6707
(847) 679-6721
Mailing address
4905 OLD ORCHARD CTR, SKOKIE, IL 60077-1425
(847) 679-6707
(847) 679-6721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036072858
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31604645
BLUE CROSS BLUE SHIELD
IL
Enumeration date
05/03/2006
Last updated
05/19/2008
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