Individual
MICHAEL R FIORUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2850 W 95TH ST, SUITE 306, EVERGREEN PARK, IL 60805-2735
(708) 422-8500
(708) 229-6081
Mailing address
2850 W 95TH ST, SUITE 306, EVERGREEN PARK, IL 60805-2735
(708) 422-8500
(708) 229-6081
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036108602
IL
208600000X
Surgery Physician
47268
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34584700
—
WI
Enumeration date
06/16/2005
Last updated
06/19/2014
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