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:
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Health care specialties

SpecialtyCodeLicense #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 3 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 1427073543 NPPES
Illinois MEDICAID 036--043966

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