Individual
MR. FRED HARRY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
29W505 CERNY CIR, WARRENVILLE, IL 60555-2516
(630) 922-9881
(630) 393-3732
Mailing address
PO BOX 5944, NAPERVILLE, IL 60567-5944
(630) 393-3731
(630) 393-3732
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238.000008
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238.000008
LICENSE
IL
Enumeration date
01/23/2006
Last updated
06/09/2014
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