Active NPI
David Leon Fishman, MD
- Cardiovascular Disease Physician
- Chicago, IL
National Provider Identifier
1700967684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Practice address
- 5600 W Addison St
Suite 505
Chicago, IL 60634-4401 - Phone
- (773) 282-3311
- Fax
- (773) 794-7365
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | IL | Primary |
Addresses
Primary practice location
5600 W Addison St
Suite 505
Chicago, IL 60634-4401
Mailing address
5600 W Addison St
Suite 505
Chicago, IL 60634-4401
Phone (773) 282-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190937600000",
"number": "1700967684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 W ADDISON ST",
"address_2": "SUITE 505",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344401",
"telephone_number": "773-282-3311",
"fax_number": "773-794-7365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 W ADDISON ST",
"address_2": "SUITE 505",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606344401",
"telephone_number": "773-282-3311",
"fax_number": "773-794-7365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "DAVID",
"middle_name": "LEON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.