FRIEDELL CLINIC S. C. NPI 1306854021

NPI Information

NPI: 1306854021
Provider Name: FRIEDELL CLINIC, S. C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1625 E 75TH ST
CHICAGO, IL
ZIP 60649
Phone: (773) 947-2828
Get Directions

FRIEDELL CLINIC, S. C. is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FRIEDELL CLINIC, S. C. NPI is 1306854021. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1625 E 75TH ST
CHICAGO, IL
ZIP 60649-603
Phone: (773) 947-2828
Fax: (773) 947-7792

The provider's authorized official is Nelson Vasquez .
The authorized official title is Cfo and has the following contact phone number (773) 947-7989.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 1/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		042-005610		No
2	207Q00000X	Family Medicine		042-005610	ILLINOIS	Yes
3	207R00000X	Internal Medicine		042005610	ILLINOIS	No
4	207V00000X	Obstetrics & Gynecology		042-005610	ILLINOIS	No
5	207X00000X	Orthopaedic Surgery		042-005610	ILLINOIS	No
6	207XS0106X	Orthopaedic Surgery	Hand Surgery	042-005610	ILLINOIS	No
7	207ZF0201X	Pathology	Forensic Pathology	042-005610	ILLINOIS	No
8	207ZP0105X	Pathology	Clinical Pathology/Laboratory Medicine	042-005610	ILLINOIS	No
9	207ZP0213X	Pathology	Pediatric Pathology	042-005610	ILLINOIS	No
10	208000000X	Pediatrics		042-005610	ILLINOIS	No
11	2084A0401X	Psychiatry & Neurology	Addiction Medicine	042-005610	ILLINOIS	No
12	2084P0800X	Psychiatry & Neurology	Psychiatry	042-005610	ILLINOIS	No
13	208600000X	Surgery		042-005610	ILLINOIS	No
14	208D00000X	General Practice		042-005610	ILLINOIS	No
15	208M00000X	Hospitalist		042-005610	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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