NPI 1073015269

Michael Martin Fishkin, CPED

Practitioner Pedorthist Crystal Lake, IL

Practice location

Address: 750 E Terra Cotta Ave STE C, Crystal Lake, IL 60014-3621
Phone: (847) 639-5800
Mailing address: 508 Abbeywood Dr, Cary, IL 60013-2470

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence 212.010327 (IL)

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Registry record

NPI: 1073015269
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2018
Record last updated: 3 Aug 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.