Provider Demographics
NPI:1518909779
Name:PFISTER, MARGARET M (MD)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:M
Last Name:PFISTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:911 N ELM ST
Mailing Address - Street 2:STE 115
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3634
Mailing Address - Country:US
Mailing Address - Phone:630-734-2634
Mailing Address - Fax:630-734-2635
Practice Address - Street 1:911 N ELM ST
Practice Address - Street 2:STE 115
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3634
Practice Address - Country:US
Practice Address - Phone:630-734-2634
Practice Address - Fax:630-734-2635
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036058934207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2207002OtherBCBS
IL036058934Medicaid
400280OtherGROUP PTAN
IL036058934Medicaid
2207002OtherBCBS