Individual
MR. JEROME MICHAEL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8361 BELMONT AVE, RIVER GROVE, IL 60171-1001
(708) 452-8062
Mailing address
673 OLD TRAIL RD, HIGHLAND PARK, IL 60035-1303
(847) 814-1071
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5128746
IL
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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