Friedell Primary Care

LBN: South Shore School Of Leadership Health Center
Friedell Primary Care is an health care organization with primary practice located at 7627 S Constance Ave , Chicago IL 60649-4009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty. South Shore School Of Leadership Health Center can be contacted via phone (773) 535-7406, or through Friedell, Peter via phone (312) 808-0621.

Contact Information

Primary practice address
7627 S Constance Ave Chicago IL 60649-4009
Phone: (773) 535-7406
Fax: (312) 808-0655
Website:
Map and Directions
Authorized official contact:
Name: Friedell, Peter Doctor of Medicine (MD)
Phone: (312) 808-0621

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X 042617358 Illinois

Profile Details

NPI number 1508294091
LBN Legal business name South Shore School Of Leadership Health Center
DBA Doing business as Friedell Primary Care
Authorized official Friedell, Peter Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2013
Last updated Oct 30th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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