Freidine, Mikhail

Freidine, Mikhail is an individual health care provider with primary practice located at 12935 Gregory St , Blue Island IL 60406-2428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Freidine, Mikhail can be contacted via phone (708) 597-2000.

Contact Information

Primary practice address
12935 Gregory St Blue Island IL 60406-2428
Phone: (708) 597-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036111700 Illinois

Profile Details

NPI number 1225048960
LBN Legal business name Freidine, Mikhail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Dec 18th, 2021 - about 3 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 1225048960 NPPES
Illinois MEDICAID 036111700

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