Dr Walter I Fried, PHD, MD | |
3477 Grand Ave, Gurnee, IL 60031-3734 | |
(847) 249-4660 | |
(847) 249-4950 |
Full Name | Dr Walter I Fried |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 3477 Grand Ave, Gurnee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497741342 | NPI | - | NPPES |
036050042 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 036050042 (Illinois) | Primary |
207W00000X | Ophthalmology | 29201020 (Wisconsin) | Secondary |
Entity Name | Kirk Eye Center Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568563955 PECOS PAC ID: 2769527118 Enrollment ID: O20101109000595 |
Mailing Address | Practice Location Address |
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Dr Walter I Fried, PHD, MD 3477 Grand Ave, Gurnee, IL 60031-3734 Ph: (847) 249-4660 | Dr Walter I Fried, PHD, MD 3477 Grand Ave, Gurnee, IL 60031-3734 Ph: (847) 249-4660 |
Dr. Steven D Reinglass, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 310 S Greenleaf St Ste 209, Gurnee, IL 60031 Phone: 847-244-1657 Fax: 847-244-5122 | |
Dr. Nancy Anderson Hamming, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 48 S Greenleaf St, Gurnee, IL 60031 Phone: 847-662-4016 Fax: 847-662-4174 | |
Rebekah Arletta Braslow, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7900 Rollins Rd Ste B1300, Gurnee, IL 60031 Phone: 224-251-2020 | |
Dr. Daniel Joseph Green, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 48 S Greenleaf St, Gurnee, IL 60031 Phone: 847-668-4016 Fax: 847-662-4174 | |
Dr. Rachael A Greenberg, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 48 S Greenleaf St, Gurnee, IL 60031 Phone: 847-662-4016 Fax: 847-662-4174 | |
Swetha Dhanireddy, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 7900 Rollins Rd Ste B1300, Gurnee, IL 60031 Phone: 224-251-2020 Fax: 224-251-2010 |