| Mark Steven Fisher, MD | |
|
2151 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1885 | |
| (847) 236-1300 | |
| (847) 236-9549 |
| Full Name | Mark Steven Fisher |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Critical Care Medicine |
| Location | 2151 Waukegan Rd, Bannockburn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699768739 | NPI | - | NPPES |
| 036063754 | Medicaid | IL | |
| 36-3200051 | Other | IL | FEIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 036063754 (Illinois) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 036063754 (Illinois) | Secondary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Steven Fisher, MD 2151 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1885 Ph: (847) 236-1300 | Mark Steven Fisher, MD 2151 Waukegan Rd, Suite 110, Bannockburn, IL 60015-1885 Ph: (847) 236-1300 |
Thomas A. Mayer, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd Ste 100, Bannockburn, IL 60015 Phone: 847-444-5300 Fax: 847-267-1429 | |
Dr. Adam Jeffrey Silver, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd Ste 100, Bannockburn, IL 60015 Phone: 847-444-5300 | |
David Jeremy Davidson, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd Ste 100, Bannockburn, IL 60015 Phone: 847-663-8410 Fax: 847-267-1429 | |
Jonathan M Gilbert, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd, Suite 100, Bannockburn, IL 60015 Phone: 847-444-5300 Fax: 847-267-0694 | |
David R Campbell, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd, Bannockburn, IL 60015 Phone: 847-444-5300 Fax: 847-267-0649 | |
Neil Stuart Freedman, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd, Suite 110, Bannockburn, IL 60015 Phone: 847-236-1300 Fax: 847-236-9549 | |
Benjamin D Margolis, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 Waukegan Rd Ste 110, Bannockburn, IL 60015 Phone: 847-236-1300 Fax: 847-236-9637 |