MEDICARE: CHIROFISH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1114883097
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROFISH

Provider Business Mailing Address
First Line	:	216 W NORTHWEST HWY
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-2413
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 W NORTHWEST HWY
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-2413
Country	:	US
Telephone Number	:	847-776-5101
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID FISH
Credential	:	DC
Telephone Number	:	269-357-6656

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “CHIROFISH ” Practice Location

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