Freidheim, Jere

Freidheim, Jere is an sole proprietor health care provider with primary practice located at 2525 S Michigan Ave B-390, Chicago IL 60616-2333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Freidheim, Jere can be contacted via phone (312) 567-6691.

Contact Information

Primary practice address
2525 S Michigan Ave B-390 Chicago IL 60616-2333
Phone: (312) 567-6691
Fax: (312) 328-7895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036036737 Illinois

Profile Details

NPI number 1700869385
LBN Legal business name Freidheim, Jere
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2005
Last updated Feb 10th, 2012 - about 12 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 1700869385 NPPES
Illinois Other 01621679 BCBS OF IL
Illinois MEDICAID 036036737 BCBS OF IL

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