Walter I. Fried Ph.d., M.d., S.c.

NPI 1629064514 - Ophthalmology - 207W00000X

NPI Details
NPI 1629064514
Enumeration Date 09/26/2005
Last Updated 01/03/2014
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name TERA TERA
Position BUSINESS OFFICE MANAGER
Phone (847) 249-4660
Fax (847) 249-4950
Practice Location
3477 GRAND AVE
GURNEE IL, 60031-3734, US
Phone (847) 249-4660
Fax (847) 249-4950
Business Location
3477 GRAND AVE
GURNEE IL, 60031-3734, US
Phone (847) 249-4660
Fax (847) 249-4950
Toxanomy
Taxonomy Code 207W00000X
License State
License Number
Remove 1629064514 NPI Number
 

According to our database, Walter I. Fried Ph.d., M.d., S.c. NPI is 1629064514, taxonomy code is 207W00000X Walter I. Fried Ph.d., M.d., S.c. physically located at 3477 Grand Ave, Gurnee IL, 60031-3734. NPI Number 1033115704 has the healthcare provider type.

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1629064514 NPI number is provided on an as is basis without warranty of any kind. 1629064514 is maintained by the National Plan & Provider Enumeration System. The contents of Walter I. Fried Ph.d., M.d., S.c. are for informational purposes only.