Healthcare Provider Details

I. General information

NPI: 1568252013
Provider Name (Legal Business Name): MARY FISCHER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 MADISON ST
OAK PARK IL
60302-4441
US

IV. Provider business mailing address

852 MADISON ST
OAK PARK IL
60302-4441
US

V. Phone/Fax

Practice location:
  • Phone: 708-445-3965
  • Fax: 708-445-1355
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070.029396
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: