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NPI Code Detail

MEDICARE: DR. MARY FISCHER DPT

MEDICARE: DR. MARY FISCHER DPT
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
1225100000XPhysical Therapist070.029396IL

General Provider Information

NPI Number : 1568252013
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY FISCHER DPT
Provider Business Mailing Address
First Line : 852 MADISON ST
Second Line :
City : OAK PARK
State : IL
Zip : 60302-4441
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 852 MADISON ST
Second Line :
City : OAK PARK
State : IL
Zip : 60302-4441
Country : US
Telephone Number : 708-445-3965
Fax Number : 708-445-1355
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2025
Last Update Date : 08/28/2025

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Directions to “ DR. MARY FISCHER DPT” Practice Location

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