MEDICARE: ROBERT C FISCHER JR. DC

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	038-007768	IL

General Provider Information

NPI Number	:	1437218625
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT C FISCHER JR. DC

Provider Business Mailing Address
First Line	:	7243 MADISON ST
Second Line	:	STE 423
City	:	FOREST PARK
State	:	IL
Zip	:	60130-3726
Country	:	US
Telephone Number	:	708-848-7777
Fax Number	:	708-848-9123

Provider Business Practice Location Address
First Line	:	811A N. HARLEM AVE.
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-1627
Country	:	US
Telephone Number	:	708-848-7777
Fax Number	:	708-848-9123

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2006
Last Update Date	:	05/23/2016

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