Fred L. Fishman M.D.,S.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

3641080 Issued in IL

Legal business name

FRED L. FISHMAN M.D.,S.C.

Practice address

111 N Wabash Ave
910
Chicago, IL 60602-1903

Phone

(312) 372-6383

Fax

(312) 372-2057

NPI assigned

Oct 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Fred Leon Fishman, M.D.

Title

President

Phone

(312) 372-6383

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780767574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-372-6383",
            "fax_number": "312-372-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "910",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-372-6383",
            "fax_number": "312-372-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED L. FISHMAN M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-372-6383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "3641080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary M Frech, N.P.
• Morgan Frechie
• Fred M Levin MD SC
• Elianna Fred, MD
• Benjamin John Fredeen
• Frederick M. Cahan MD LLC
• Carmin Alana Frederick-Farmer, MHS, CCC/SLP

• Gastroenterology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Gastroenterology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.