Individual
MARK H FISHBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4597
(312) 227-9645
Mailing address
225 E CHICAGO AVE # 65, CHICAGO, IL 60611-2991
(312) 227-4597
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
036-075409
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075409
—
IL
Enumeration date
12/07/2005
Last updated
02/10/2020
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