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NPI Code Detail

MEDICARE: DARRYL J. FLEISHMAN M.D.

MEDICARE: DARRYL J. FLEISHMAN M.D.
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
1207P00000XEmergency Medicine Physician036088027IL

General Provider Information

NPI Number : 1184670713
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARRYL J. FLEISHMAN M.D.
Provider Business Mailing Address
First Line : 1720 N LASALLE ST
Second Line : UNIT #442
City : CHICAGO
State : IL
Zip : 60614-5845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12935 GREGORY ST
Second Line :
City : BLUE ISLAND
State : IL
Zip : 60406-2428
Country : US
Telephone Number : 708-597-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 05/20/2008

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Directions to “ DARRYL J. FLEISHMAN M.D.” Practice Location

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