Provider Demographics
NPI:1932227725
Name:FISCHER, CALVIN H (DO)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:H
Last Name:FISCHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1555 BARRINGTON RD
Mailing Address - Street 2:SUITE 3450
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1019
Mailing Address - Country:US
Mailing Address - Phone:847-882-2400
Mailing Address - Fax:847-884-7222
Practice Address - Street 1:1555 BARRINGTON RD
Practice Address - Street 2:SUITE 3450
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169
Practice Address - Country:US
Practice Address - Phone:847-882-2400
Practice Address - Fax:847-884-7222
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036043496207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL36043496Medicaid
IL36043496Medicaid