Fisher, Raymond

Fisher, Raymond is an individual health care provider with primary practice located at 7447 W Talcott Ave Suite 200, Chicago IL 60631-3745. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Fisher, Raymond can be contacted via phone (773) 774-5020.

Contact Information

Primary practice address
7447 W Talcott Ave Suite 200 Chicago IL 60631-3745
Phone: (773) 774-5020
Fax: (773) 774-4967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036055502 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036055502 Illinois

Profile Details

NPI number 1104886779
LBN Legal business name Fisher, Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Mar 31st, 2016 - about 9 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 1104886779 NPPES
Illinois MEDICAID 036055502

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