FRED FISHER (NPI# 1396879581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396879581 |
| Entity Type | Organization |
| Organization Name | FRED FISHER |
| Other Organization Name | CHICAGOLAND SURGICAL ASSISTING LLC |
| Practice Address |
29w505 Cerny Cir Warrenville IL 60555-2516 |
| Mailing Address |
Po Box 5944 Naperville IL 60567-5944 |
| Practice Telephone | 6309229881 |
| Practice Fax Number | 6303933732 |
| Mailing Telephone | 6309229881 |
| Mailing Fax Number | 6303933732 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRED FISHER (PRESIDENT) |
| Authorized Official Telephone | 6309229881 |
| Authorized Official Credential | RSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
IL | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| chicagoland surgical assisting llc | Doing Business As Name - Organization |
| Street Address |
29W505 CERNY CIR |
| City | WARRENVILLE |
| State | IL |
| Zip Code | 60555-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038718 | Fred Harry Fisher | Specialist/Technologist, Other | 29w505 Cerny Cir, Warrenville, IL 60555-2516 | 2006-01-23 |
| 1962610386 | Leslie Marie Bailey | Specialist/Technologist, Other | 29w505 Cerny Cir, Warrenville, IL 60555-2516 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053944546 | Deloris Abrahams Morgan | Physical Therapist | Symbria Rehab, 28100 Torch Parkway Suite 600, Warrenville, IL 60555 | 2020-02-13 |
| 1306479894 | Lauri Ann Mccrorey | Physical Therapist | Symbria Rehab 28100 Torch Parkway, Suite 600, 600, Warrenville, IL 60555 | 2020-02-13 |
| 1699241455 | Jason Villanueva | Occupational Therapist | 2 S 521 River Oaks Dr, Warrenville, IL 60555 | 2018-10-19 |
| 1558885715 | Carol Renee Powers | Nurse Practitioner | 28375 Davis Parkway, Suite 903, Warrenville, IL 60555 | 2017-07-31 |
| 1245613249 | Bryce Alan Larson | Dentist | 28377 Davis Pkwy Ste 609, Warrenville, IL 60555 | 2015-07-08 |
| 1982092078 | Metropolitan Family Services | Community/Behavioral Health | 27475 Ferry Road Suite 120, Americenter of Naperville Warrenville, Warrenville, IL 60555 | 2014-12-26 |
| 1306248505 | A & A Clinical Counseling Solutions, Inc. | Psychologist | 4580 Weaver Parkway Suite 204, Warrenville, IL 60555 | 2014-09-18 |
| 1538412242 | Kirsten Holly Rasmussen | Counselor | 29w120 Butterfield Road, Suite 104 A, Warrenville, IL 60555 | 2012-10-18 |
| 1871881110 | Marianne Huml | Registered Nurse | 4405 Weaver Parkway, Suite 201, Central Dupage Hospital Cancer Center, Warrenville, IL 60555 | 2011-07-20 |
| 1649405341 | James Wade | Surgery | 4405 Weaver Parkway, Warrenville, IL 60555 | 2009-05-26 |
| Find all providers in zip 60555 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114461019 | Lauren Marie Weston | Physician Assistant | 4405 Weaver Pkwy, Warrenville, IL 60555-3269 | 2016-12-12 |
| 1851695498 | Erik E Rodriguez | Physician Assistant | 27650 Ferry Rd, Warrenville, IL 60555-3845 | 2010-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
| 1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
| 1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
| 1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
| 1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
| 1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
| 1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
| 1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
| 1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
| 1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
| Find all providers with the same taxonomy | ||||
| City | WARRENVILLE |
| Zip Code | 60555 |
Please comment or provide details below to improve the information on FRED FISHER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.