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Individual

DR. JOEL B FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2650 RIDGE AVE STE 1505, EVANSTON, IL 60201-1718
(847) 570-2033
(847) 570-0231
Mailing address
2650 RIDGE AVE STE 1505, EVANSTON, IL 60201-1718
(847) 570-0233
(847) 570-0231

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036085929
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036085629
IL
Enumeration date
09/09/2005
Last updated
03/14/2022
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