Individual
DE'ERIC FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1163 N STATE ST LOWR LEVEL, CHICAGO, IL 60610-2722
(773) 780-4653
Mailing address
1030 N DEARBORN ST APT 1218, CHICAGO, IL 60610-5045
(773) 780-4653
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.024241
IL
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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