Fraidenburg, Dustin Ryan

Fraidenburg, Dustin Ryan is an individual health care provider with primary practice located at 1740 W Taylor St , Chicago IL 60612-7232. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Fraidenburg, Dustin Ryan can be contacted via phone (866) 600-2273.

Contact Information

Primary practice address
1740 W Taylor St Chicago IL 60612-7232
Phone: (866) 600-2273
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036.131110 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036131110 Illinois

Profile Details

NPI number 1235365586
LBN Legal business name Fraidenburg, Dustin Ryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2009
Last updated May 4th, 2018 - about 7 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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