| Dr Ian M Fisher, MD | |
|
820 E Terra Cotta Ave, #129 136 Open Advanced Mri Of Crystal Lake Llc, Crystal Lake, IL 60014 | |
| (815) 444-1330 | |
| (815) 444-1249 |
| Full Name | Dr Ian M Fisher |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 820 E Terra Cotta Ave, Crystal Lake, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902828197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | (Illinois) | Primary |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| Entity Name | Basha Diagnostics P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770693798 PECOS PAC ID: 5890681746 Enrollment ID: O20170608002045 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20181212002794 |
| Entity Name | Howard Simon Md Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659930998 PECOS PAC ID: 7214369966 Enrollment ID: O20191118002405 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ian M Fisher, MD 1126 S 70th St, #n500, Milwaukee, WI 53214 Ph: (414) 455-4780 | Dr Ian M Fisher, MD 820 E Terra Cotta Ave, #129 136 Open Advanced Mri Of Crystal Lake Llc, Crystal Lake, IL 60014 Ph: (815) 444-1330 |
Dr. Feraz Najmi Rahman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 750 E Terra Cotta Ave Ste A, Crystal Lake, IL 60014 Phone: 815-846-0037 Fax: 815-846-0037 |