Provider Demographics
NPI:1275791907
Name:FISCHER, WILLIAM G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:G
Last Name:FISCHER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-4438
Mailing Address - Country:US
Mailing Address - Phone:630-325-7814
Mailing Address - Fax:
Practice Address - Street 1:617 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4438
Practice Address - Country:US
Practice Address - Phone:630-325-7814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36-0440632085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AF5361287OtherBNDD
IL336-044063OtherPHYSICIAN
IL336-011397OtherCONTROLLED SUBSTANCE
IL336-011397OtherCONTROLLED SUBSTANCE