Concepcion, Frederman

Concepcion, Frederman is an individual health care provider with primary practice located at 5140 N California Ave Ste 780 , Chicago IL 60625-7066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Concepcion, Frederman can be contacted via phone (773) 989-3957.

Contact Information

Primary practice address
5140 N California Ave Ste 780 Chicago IL 60625-7066
Phone: (773) 989-3957
Fax: (773) 989-3971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036114474 Illinois

Profile Details

NPI number 1417181116
LBN Legal business name Concepcion, Frederman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2009
Last updated Apr 12th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417181116 NPPES
Illinois MEDICAID 036114474
Illinois Other 406120090

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