Individual
FRIEDL H PANTLE-FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 834-4064
Mailing address
5841 S MARYLAND AVE # MC1099, CHICAGO, IL 60637-1447
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036076447
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076447
—
IL
Enumeration date
12/27/2006
Last updated
07/08/2007
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