Healthcare Provider Details
I. General information
NPI: 1477416501
Provider Name (Legal Business Name): FSH MEDICAL, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
24 E WASHINGTON ST STE 875
CHICAGO IL
60602-1758
US
IV. Provider business mailing address
24 E WASHINGTON ST STE 875
CHICAGO IL
60602-1758
US
V. Phone/Fax
- Phone: 888-691-7867
- Fax: 888-691-7867
- Phone: 888-691-7867
- Fax: 888-691-7867
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LEE
COLE
BARFIELD
Title or Position: PRESIDENT
Credential: MD
Phone: 888-691-7867