Fisher, Mark Steven

Fisher, Mark Steven is an individual health care provider with primary practice located at 2151 Waukegan Rd Suite 110, Bannockburn IL 60015-1885. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fisher, Mark Steven can be contacted via phone (847) 236-1300.

Contact Information

Primary practice address
2151 Waukegan Rd Suite 110 Bannockburn IL 60015-1885
Phone: (847) 236-1300
Fax: (847) 236-9549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036063754 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036063754 Illinois

Profile Details

NPI number 1699768739
LBN Legal business name Fisher, Mark Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Apr 22nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699768739 NPPES
Illinois MEDICAID 036063754
Illinois Other 36-3200051

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