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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700869385 | NPPES |
Illinois | Other | 01621679 | BCBS OF IL |
Illinois | MEDICAID | 036036737 | BCBS OF IL |
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