DR. LARRY ALAN FISHER (NPI# 1639160658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639160658 |
| Entity Type | Individual |
| Full Name | DR. LARRY ALAN FISHER |
| Credential | D.D.S. |
| Practice Address |
1945 W Wilson Ave Suite 2112 Chicago IL 60640-5255 |
| Practice Telephone | 7735614508 |
| Practice Fax Number | 7735614508 |
| Mailing Telephone | 7735614508 |
| Mailing Fax Number | 7735614508 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2008-08-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
019-015484 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 164971 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033245428 | Larry Edward Fisher | Dentist | 200 Elmwood Ave, Reading, PA 19609 | 2007-02-27 |
| 1730230814 | Larry P Fisher | Physician Assistant | 17021 N Joshua Tree Ct, Sun City, AZ 85373-1816 | 2007-01-15 |
| 1457323818 | Larry Warren Fisher | Social Worker | 13001 E 17th Pl, Va Outpatient Clinic, Aurora, CO 80010-7238 | 2006-02-01 |
| 1659341816 | Larry S Fisher | Dentist | 51 Pennsylvania Ave, Huntingdon, PA 16652-1250 | 2006-01-23 |
| 1255333076 | Larry S Fisher | Internal Medicine | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2005-08-11 |
| 1942287784 | Larry Brian Fisher | Dentist | 128 Chaffee Road, Fort Bliss, TX 79906-3811 | 2005-12-22 |
| Street Address |
1945 W WILSON AVE SUITE 2112 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710519921 | Claire Husaynu | Occupational Therapist | 1945 W Wilson Ave, Chicago, IL 60640-5255 | 2020-02-05 |
| 1700425378 | Kimberly A George | Occupational Therapist | 1945 W Wilson Ave, Chicago, IL 60640-5255 | 2019-12-31 |
| 1790337228 | Tomasa Valencia | Nurse Practitioner | 1945 W Wilson Ave, Chicago, IL 60640 | 2019-07-15 |
| 1417489311 | Laura Therese Toscano | Hearing Instrument Specialist | 1945 W Wilson Ave, Suite 6108, Chicago, IL 60640-5255 | 2017-03-30 |
| 1578001285 | Lakeshore Psychotherapy Group LLC | Psychologist | 1945 W Wilson Ave, Suite 6117, Chicago, IL 60640-5255 | 2017-02-02 |
| 1194192088 | Eva Lopez | Audiologist | 1945 W Wilson Ave, Suite 6108, Chicago, IL 60640-5255 | 2015-08-26 |
| 1861887036 | Robert L Neems Dds PC | Dentist | 1945 W Wilson Ave, Suite 5117, Chicago, IL 60640-5255 | 2015-04-03 |
| 1518365857 | Lauren Johnson | Social Worker | 1945 W Wilson Ave, Suite 5115, Chicago, IL 60640 | 2014-12-19 |
| 1902239460 | Melissa Kwafo | Social Worker | 1945 W Wilson Ave, Chicago, IL 60640-5255 | 2013-08-19 |
| 1174956130 | Meredith Parker | Counselor | 1945 W Wilson Ave, Suite 5113, Chicago, IL 60640-5255 | 2013-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1679181895 | Robert J Chacon | Dentist | 15 S Throop St Apt 206, Chicago, IL 60607-2522 | 2020-07-14 |
| 1629693304 | Priyanka Sikka | Dentist | 300 W Grand Ave Apt 303, Chicago, IL 60654-7855 | 2020-06-09 |
| 1164045456 | Yong Chang Dds PC. | Dentist | 3531 N Western Ave Unit B, Chicago, IL 60618-6025 | 2020-05-21 |
| 1699301358 | Marcella Guzman P.C. | Dentist | 3236 W. Fullerton Ave., Chicago, IL 60647 | 2020-03-13 |
| 1831749944 | Kenwood Dental Group | Dentist | 1335 E 87th St Ste A, Chicago, IL 60619-7036 | 2019-09-19 |
| 1508412875 | Kamal Paresh Patel | Dentist | 1040 W Randolph St, Chicago, IL 60607-2215 | 2019-08-13 |
| 1003469636 | Ahmed Mansour | Dentist | 2122 N Milwaukee Ave Ste 1, Chicago, IL 60647-4251 | 2019-07-23 |
| 1568024925 | John Michael Burnheimer II | Dentist | 11 S Green St Unit 1106, Chicago, IL 60607-1031 | 2019-07-05 |
| 1497317515 | Prasanth Dommaraju | Dentist | 3924 S Archer Ave, Chicago, IL 60632-1116 | 2019-06-29 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.