Fisk, Mary
Fisk, Mary is an individual health care provider with primary practice located at 11231 Distinctive Dr , Orland Park IL 60467-9458. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fisk, Mary can be contacted via phone (800) 461-9533.Contact Information
Primary practice address
11231 Distinctive Dr
Orland Park IL 60467-9458
Phone: (800) 461-9533
Fax: (708) 478-1302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180007068 | Illinois |
Profile Details
| NPI number | 1578812202 |
|---|---|
| LBN Legal business name | Fisk, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2012 |
| Last updated | Sep 10th, 2012 - about 14 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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