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NPI Code Detail

MEDICARE: FRED GEISLER M.D.

MEDICARE: FRED GEISLER M.D.
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
1207T00000XNeurological Surgery Physician036-085216IL

General Provider Information

NPI Number : 1912993403
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRED GEISLER M.D.
Provider Business Mailing Address
First Line : 2020 OGDEN AVE
Second Line : SUITE 335
City : AURORA
State : IL
Zip : 60504-5894
Country : US
Telephone Number : 630-236-4303
Fax Number : 630-236-4317
Provider Business Practice Location Address
First Line : 2020 OGDEN AVE
Second Line : SUITE 335
City : AURORA
State : IL
Zip : 60504-5894
Country : US
Telephone Number : 630-236-4303
Fax Number : 630-236-4317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 06/26/2014

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1336134931 — DR. MARIA LASHER D.O.
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2020 OGDEN AVE , SUITE 330
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Practice Location Address:
2020 OGDEN AVE , SUITE 120
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1851387096 — DIANE HOMAN M.D.
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Directions to “ FRED GEISLER M.D.” Practice Location

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