Individual
ANDREW FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036-118070
IL
207YX0901X
Otology & Neurotology Physician
Primary
036118070
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118070
—
IL
01
—
206147221
MEDICARE (INDIVIDUAL PTAN)
IL
01
—
CE8792
MEDICARE RAILROAD PTAN (GROUP)
IL
01
—
P01185371
MEDICARE RAILROAD PTAN (INDIVIDUAL)
IL
Enumeration date
05/01/2007
Last updated
11/11/2013
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