Friedell Primary Care | |
1955 E 75th St Chicago IL 60649-3688 | |
(773) 535-3850 | |
(312) 808-0655 |
Full Name | Friedell Primary Care |
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Speciality | Clinic/center - Student Health |
Location | 1955 E 75th St, Chicago, Illinois |
Authorized Official Name and Position | Peter Friedell (PRESIDENT) |
Authorized Official Contact | 3128080621 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Friedell Primary Care 2850 S Wabash Ave Suite 203 Chicago IL 60616-2955 Ph: (312) 808-0621 | Friedell Primary Care 1955 E 75th St Chicago IL 60649-3688 Ph: (773) 535-3850 |
NPI Number | 1407284664 |
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Provider Enumeration Date | 10/28/2013 |
Last Update Date | 10/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407284664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | 042617358 (Illinois) | Primary |
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