MEDICARE: DR. HEIDI FISCHER OTD, OTR/L

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	225X00000X	Occupational Therapist	056005814	IL

General Provider Information

NPI Number	:	1558883033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEIDI FISCHER OTD, OTR/L

Provider Business Mailing Address
First Line	:	1919 W TAYLOR ST # MC811
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-7246
Country	:	US
Telephone Number	:	312-355-3184
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 W ROOSEVELT RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-1316
Country	:	US
Telephone Number	:	312-355-3184
Fax Number	:

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

Provider Enumeration Date	:	07/17/2017
Last Update Date	:	02/19/2026

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Directions to “ DR. HEIDI FISCHER OTD, OTR/L” Practice Location

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