IndividualActive
Justin Fischer, MD
NPI 1730456914 · Colon & Rectal Surgery Physician · Peoria, IL
Provider details
- NPI number
- 1730456914
- Entity type
- Individual
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036139889 (IL)
Practice location
1001 Main St
Ste 300
Peoria, IL 61606-2036
Phone: (309) 495-0201
Fax: (309) 676-6545
Mailing address
Po Box 19248
Springfield, IL 62794-9248
Registry dates
- Enumerated
- 2011-11-16
- Last updated
- 2026-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.