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Individual

DR. DANIEL PETER FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1100 JORIE BLVD STE 272, OAK BROOK, IL 60523-4426
(630) 571-4503
(630) 756-4176
Mailing address
1100 JORIE BLVD STE 272, OAK BROOK, IL 60523-4426
(630) 571-4503
(630) 756-4176

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004119
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
071-004119
STATE LICENSE NUMBER
IL
Enumeration date
08/01/2006
Last updated
01/22/2025
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