MEDICARE: ROBIN M FISCHER PA

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	363A00000X	Physician Assistant	085-001299	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619053469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN M FISCHER PA

Provider Business Mailing Address
First Line	:	3880 SALEM LAKE DR STE F
Second Line	:
City	:	LONG GROVE
State	:	IL
Zip	:	60047-5292
Country	:	US
Telephone Number	:	847-719-2220
Fax Number	:	847-719-2265

Provider Business Practice Location Address
First Line	:	900 W IL ROUTE 22 STE 100
Second Line	:
City	:	LAKE ZURICH
State	:	IL
Zip	:	60047-3416
Country	:	US
Telephone Number	:	847-462-1700
Fax Number	:

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

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	07/11/2024

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Directions to “ ROBIN M FISCHER PA” Practice Location

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