Fried, Tristan Blase

Fried, Tristan Blase is an individual health care provider with primary practice located at 1611 W Harrison St Ste 201 , Chicago IL 60612-4861. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine is his primary health care specialty. Fried, Tristan Blase can be contacted via phone (312) 563-6306.

Contact Information

Primary practice address
1611 W Harrison St Ste 201 Chicago IL 60612-4861
Phone: (312) 563-6306
Fax: (312) 942-2040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 036168181 Illinois

Profile Details

NPI number 1760047096
LBN Legal business name Fried, Tristan Blase
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2019
Last updated Apr 28th, 2024 - about 7 months 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.

Request for update

Popular Providers