| De'eric Fisher, | |
|
1163 N State St Lowr Level, Chicago, IL 60610-2722 | |
| (773) 780-4653 | |
| Not Available |
| Full Name | De'eric Fisher |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 1163 N State St Lowr Level, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689568313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227.024241 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| De'eric Fisher, 1030 N Dearborn St Apt 1218, Chicago, IL 60610-5045 Ph: (773) 780-4653 | De'eric Fisher, 1163 N State St Lowr Level, Chicago, IL 60610-2722 Ph: (773) 780-4653 |
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