Individual
DR. JUSTIN LEE FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN ST, STE 300, PEORIA, IL 61606-2036
(309) 495-0201
(309) 676-6545
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
(309) 676-6545
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
036139889
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36139889-1
—
IL
Enumeration date
11/16/2011
Last updated
02/11/2026
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