DR. CHARLES ANDREW FRIEDL (NPI# 1003945320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003945320 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ANDREW FRIEDL |
| Credential | D.O. |
| Practice Address |
1206 E 9th St Lockport IL 60441 |
| Mailing Address |
1860 Payshere Circle Chicago IL 60674-1369 |
| Practice Telephone | 6309573462 |
| Mailing Telephone | 6304699200 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2019-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036-116534 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP MEDICARE PTAN | 400480 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2363 63rd St, Woodridge, IL 605171369 | 6307167510 |
| Street Address |
1206 E 9TH ST |
| City | LOCKPORT |
| State | IL |
| Zip Code | 60441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194783217 | Navneet Singh | Internal Medicine | 1206 E 9th St, Suite 320, Lockport, IL 60441-2404 | 2006-05-01 |
| 1710516745 | Kaitlin E Hall | Occupational Therapist | 1206 E 9th St, Lockport, IL 60441-2404 | 2020-04-02 |
| 1093345514 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 1206 E 9th St, Lockport, IL 60441-2404 | 2020-01-23 |
| 1174903793 | Manjari Ranganathan | Family Medicine | 1206 E 9th St, Lockport, IL 60441-2404 | 2015-06-09 |
| 1861830655 | Shawn A Patel | Physical Medicine & Rehabilitation | 1206 E 9th St, Lockport, IL 60441 | 2013-06-13 |
| 1891025375 | Regina Vandevelde | Physical Therapist | 1206 E 9th St, Suite 160, Lockport, IL 60441-2404 | 2010-01-06 |
| 1760712210 | Barbara Ann Fuller | Physical Therapist | 1206 E 9th St, Suite 160, Lockport, IL 60441-2404 | 2010-01-06 |
| 1417106519 | Michelene J Meersman | Physician Assistant | 1206 E 9th St, Lockport, IL 60441 | 2008-09-12 |
| 1255594073 | Shakilbanu Meerapatel | Family Medicine | 1206 E 9th St, Su 210, Lockport, IL 60441-2404 | 2008-07-02 |
| 1730373747 | J James Graziano | Family Medicine | 1206 E 9th St, Lockport, IL 60441-2404 | 2007-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366951840 | Samantha Jo Gehrig | Counselor | 16504 W 146th Pl, Lockport, IL 60441 | 2017-09-27 |
| 1275939415 | Walid Habbal | Dentist | 12612 S. Harlem Ave, Palos Heights, IL 60441 | 2014-11-17 |
| 1205240975 | Angelica Wujcik | Chiropractor | 420 Summit Drive, Lockport, IL 60441 | 2014-06-20 |
| 1720418916 | Melissa Obrien | Dietitian, Registered | 16221 W 159th St Ste 102, Lockport, IL 60441 | 2013-11-25 |
| 1033467535 | Trinity Services Inc. | Clinic/Center | 1017 S State St., Lockport, IL 60441 | 2012-08-15 |
| 1013219427 | Christopher David Baran | Nurse Anesthetist, Certified Registered | 1114 East Treeline Drive, Lockport, IL 60441 | 2010-11-18 |
| 1871736868 | Advanced Family Dental & Chiropractic of Lockport PC | Dentist | 730 South Washington St, Lockport, IL 60441 | 2009-04-07 |
| 1922292432 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 16241 South Farrell Rd, Lockport, IL 60441 | 2007-08-29 |
| 1407979438 | Joanne Adel Nasra | Developmental Therapist | 16136 Bent Grass Drive, Lockport, IL 60441 | 2007-04-06 |
| 1497800536 | Patrick Francis Healy | Dentist | 916 7th St, Lockport, IL 60441 | 2007-01-25 |
| Find all providers in zip 60441 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720348261 | Bianca Angelica Belli | Family Medicine | 5875 S. Transit Road, Lockport, NY 14094 | 2012-05-17 |
| 1528104007 | Charles Olick | Family Medicine | 5258 Mapleton Rd, Lockport, NY 14094-9293 | 2007-01-30 |
| 1093893117 | Daniel L Clark Do Ltd | Family Medicine | 14831 W 159th St, Harris Bank Building, Lockport, IL 60491 | 2006-11-02 |
| 1609959543 | Eastview Family Practice PC | Family Medicine | 294 East Avenue, Lockport, NY 14094 | 2006-10-23 |
| 1982628574 | Nicholas Varallo | Family Medicine | 670 Davison Road, Lockport, NY 14094-5338 | 2006-07-27 |
| 1639196421 | Frederick J Piwko | Family Medicine | 3805 Lockport Olcott Rd, Lockport, NY 14094-1128 | 2006-07-16 |
| 1861439879 | Patricia J Danaher | Family Medicine | 5949 Campbell Blvd, Lockport, NY 14094-9204 | 2006-05-31 |
| 1669427589 | Rajeswara Nagalla | Family Medicine | 131 East Ave, Lockport, NY 14094-3838 | 2006-05-23 |
| 1194776377 | Mirza Khalid M Baig | Family Medicine | 1206 E 9th St Ste 320, Lockport, IL 60441-2404 | 2006-05-13 |
| 1457315707 | Fiona C Halliday | Family Medicine | 5879 Snyder Dr, Lockport, NY 14094-9497 | 2006-04-13 |
| Find all providers in LOCKPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.