| Friedell Primary Care | |
|
7627 S Constance Ave Chicago IL 60649-4009 | |
| (773) 535-7406 | |
| (312) 808-0655 |
| Full Name | Friedell Primary Care |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 7627 S Constance Ave, 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 |
|---|---|
| Friedell Primary Care 2850 S Wabash Ave Suite 203 Chicago IL 60616-2955 Ph: (312) 808-0621 | Friedell Primary Care 7627 S Constance Ave Chicago IL 60649-4009 Ph: (773) 535-7406 |
| NPI Number | 1508294091 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 10/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508294091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | 042617358 (Illinois) | Primary |
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