Individual provider · Type 1 NPI

Gwendolyn Mason Fiske, PhD

Specialist · Evanston, IL

NPI number 1962737379 Active

Practice location

1047 Darrow Ave
Evanston, IL 60202

Call (847) 271-6840 Map

Mailing address

5225 Old Orchard Rd Ste 17
Skokie, IL 60077-1027

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962737379

Gwendolyn Mason Fiske, PhD's National Provider Identifier is 1962737379, issued on Oct 3, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Evanston, IL. The record was last updated on Aug 20, 2018.