Individual
DR. PIERO MARCO ANTONIO FISICHELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(773) 354-5857
Mailing address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036112122
IL
Other
Enumeration date
01/12/2007
Last updated
01/10/2020
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