Individual
MR. TIMOTHY MICHAEL FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
1004 PLEASANT ST, 3A, OAK PARK, IL 60302-3083
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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