Provider Demographics
NPI:1437218625
Name:FISCHER, ROBERT C JR (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:C
Last Name:FISCHER
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7243 MADISON ST
Mailing Address - Street 2:STE 423
Mailing Address - City:FOREST PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60130-3726
Mailing Address - Country:US
Mailing Address - Phone:708-848-7777
Mailing Address - Fax:708-848-9123
Practice Address - Street 1:811A N. HARLEM AVE.
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1627
Practice Address - Country:US
Practice Address - Phone:708-848-7777
Practice Address - Fax:708-848-9123
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-007768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL567020Medicare PIN