Provider Demographics
NPI:1538463294
Name:FISCHER, NEAL CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:CURTIS
Last Name:FISCHER
Suffix:
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 1:550 W ADAMS ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60661-3665
Mailing Address - Country:US
Mailing Address - Phone:312-441-5528
Mailing Address - Fax:312-601-0617
Practice Address - Street 1:550 W ADAMS ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60661-3665
Practice Address - Country:US
Practice Address - Phone:312-441-5528
Practice Address - Fax:312-601-0617
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2012-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036079792207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F34616Medicare UPIN
L21445Medicare PIN