SearchIllinois101YP2500X

Mary Fisk

NPI 1578812202 · on the registry since 2012

Practice

Address
11231 Distinctive Dr
Orland Park, IL 60467
Phone
(800) 461-9533
Fax
(708) 478-1302
Clinicians at this address
5

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois