Provider Demographics
NPI:1538483532
Name:MARGARET A. FISH, LTD.
Entity Type:Organization
Organization Name:MARGARET A. FISH, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:FISH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:847-433-6340
Mailing Address - Street 1:1471 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-3608
Mailing Address - Country:US
Mailing Address - Phone:847-433-6340
Mailing Address - Fax:847-267-1444
Practice Address - Street 1:1471 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-3608
Practice Address - Country:US
Practice Address - Phone:847-433-6340
Practice Address - Fax:847-267-1444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146003112235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty