Fishman, Ilya Isaakovich
Fishman, Ilya Isaakovich is an sole proprietor health care provider with primary practice located at 800 Biesterfield Rd Eberle Medical Office Building, Suite 605, Elk Grove Village IL 60007-3361. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Fishman, Ilya Isaakovich can be contacted via phone (847) 364-6724.Contact Information
Primary practice address
800 Biesterfield Rd Eberle Medical Office Building, Suite 605
Elk Grove Village IL 60007-3361
Phone: (847) 364-6724
Fax: (847) 364-6720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 036.118688 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.118688 | Illinois |
Profile Details
| NPI number | 1346434578 |
|---|---|
| LBN Legal business name | Fishman, Ilya Isaakovich |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Apr 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346434578 | NPPES |
| Illinois | Other | 1407219504 | ORGANIZATIONAL NPI |
| Illinois | Other | 1316169949 | ORGANIZATIONAL NPI |
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