Individual
BRIAN J FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26W228 GENEVA ROAD, WINFIELD, IL 60190
(800) 974-4378
(630) 515-1536
Mailing address
2547 PLAINFIELD NAPERVILLE RD STE 152, NAPERVILLE, IL 60564-8701
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F2600708802600
DRIVER'S LICENSE
WI
Enumeration date
05/22/2018
Last updated
06/16/2018
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