Organization
FRED L. FISHMAN M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED LEON FISHMAN M.D. (PRESIDENT)
(312) 372-6383
Entity
Organization
Contact information
Practice address
111 N WABASH AVE, 910, CHICAGO, IL 60602-1903
(312) 372-6383
(312) 372-2057
Mailing address
111 N WABASH AVE, 910, CHICAGO, IL 60602-1903
(312) 372-6383
(312) 372-2057
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
3641080
IL
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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