Fisher, Thomas Lee
Fisher, Thomas Lee is an individual health care provider with primary practice located at 47 W Polk St Lbby G1 , Chicago IL 60605-2087. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Fisher, Thomas Lee can be contacted via phone (312) 922-3011.Contact Information
Primary practice address
47 W Polk St Lbby G1
Chicago IL 60605-2087
Phone: (312) 922-3011
Fax: (312) 922-5875
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 036-043966 | Illinois |
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036-043966 | Illinois |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036-043966 | Illinois |
Profile Details
NPI number | 1427073543 |
---|---|
LBN Legal business name | Fisher, Thomas Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2006 |
Last updated | Aug 9th, 2022 - about 2 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 | 1427073543 | NPPES |
Illinois | MEDICAID | 036--043966 |
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