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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699768739 | NPPES |
| Illinois | MEDICAID | 036063754 | |
| Illinois | Other | 36-3200051 |
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