| Andrew Fishman, MD | |
|
25 N Winfield Rd, Winfield, IL 60190-1295 | |
| (630) 933-4056 | |
| (630) 933-4057 |
| Full Name | Andrew Fishman |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology - Otology & Neurotology |
| Location | 25 N Winfield Rd, Winfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427279348 | NPI | - | NPPES |
| P01185371 | Other | IL | MEDICARE RAILROAD PTAN (INDIVIDUAL) |
| 036118070 | Medicaid | IL | |
| 206147221 | Other | IL | MEDICARE (INDIVIDUAL PTAN) |
| CE8792 | Other | IL | MEDICARE RAILROAD PTAN (GROUP) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 036-118070 (Illinois) | Secondary |
| 207YX0901X | Otolaryngology - Otology & Neurotology | 036118070 (Illinois) | Primary |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Fishman, MD 25 N Winfield Rd, Winfield, IL 60190-1295 Ph: (630) 933-4056 | Andrew Fishman, MD 25 N Winfield Rd, Winfield, IL 60190-1295 Ph: (630) 933-4056 |
Seth T Kay, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6879 | |
Dr. James M Chow, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 25 N Winfield Rd., #519, Winfield, IL 60190 Phone: 630-668-2180 Fax: 630-668-2195 | |
Riddhi Patel, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-6279 | |
Tyler C Cebulko, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 519, Winfield, IL 60190 Phone: 630-938-6161 Fax: 630-938-6186 | |
Dr. Richard M Wiet, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 424, Winfield, IL 60190 Phone: 630-933-4056 Fax: 630-933-4057 | |
Dr. Patrick E. Simon, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-938-6161 |