Mark Steven Fisher, MD | |
2151 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1885 | |
(847) 236-1300 | |
(847) 236-9549 |
Full Name | Mark Steven Fisher |
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Gender | Male |
Speciality | Internal Medicine - Critical Care Medicine |
Location | 2151 Waukegan Rd, Bannockburn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699768739 | NPI | - | NPPES |
036063754 | Medicaid | IL | |
36-3200051 | Other | IL | FEIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 036063754 (Illinois) | Primary |
207RP1001X | Internal Medicine - Pulmonary Disease | 036063754 (Illinois) | Secondary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Mark Steven Fisher, MD 2151 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1885 Ph: (847) 236-1300 | Mark Steven Fisher, MD 2151 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1885 Ph: (847) 236-1300 |
Thomas A. Mayer, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd Ste 100, Bannockburn, IL 60015 Phone: 847-444-5300 Fax: 847-267-1429 | |
Dr. Adam Jeffrey Silver, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd Ste 100, Bannockburn, IL 60015 Phone: 847-444-5300 | |
David Jeremy Davidson, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd Ste 100, Bannockburn, IL 60015 Phone: 847-663-8410 Fax: 847-267-1429 | |
Jonathan M Gilbert, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015 Phone: 847-444-5300 Fax: 847-267-0694 | |
David R Campbell, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd, Bannockburn, IL 60015 Phone: 847-444-5300 Fax: 847-267-0649 | |
Neil Stuart Freedman, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd, Suite 110, Bannockburn, IL 60015 Phone: 847-236-1300 Fax: 847-236-9549 | |
Benjamin D Margolis, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd Ste 110, Bannockburn, IL 60015 Phone: 847-236-1300 Fax: 847-236-9637 |