PEF CLINIC II, LTD. (NPI# 1407284664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407284664 |
| Entity Type | Organization |
| Organization Name | PEF CLINIC II, LTD. |
| Other Organization Name | FRIEDELL PRIMARY CARE |
| Practice Address |
1955 E 75th St Chicago IL 60649-3688 |
| Mailing Address |
2850 S Wabash Ave Suite 203 Chicago IL 60616-2955 |
| Practice Telephone | 7735353850 |
| Practice Fax Number | 3128080655 |
| Mailing Telephone | 3128080621 |
| Mailing Fax Number | 3128080655 |
| Enumeration Date | 2013-10-28 |
| Last Update Date | 2013-10-28 |
| Authorized Official Name | PETER FRIEDELL (PRESIDENT) |
| Authorized Official Telephone | 3128080621 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
042617358 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Friedell Primary Care | Doing Business As Name - Organization |
| Street Address |
1955 E 75TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822080 | Northestern Illinois University Student Health Services | Clinic/Center | 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 | 2017-10-17 |
| 1043630098 | Mcgaw Medical Center of Northwestern University | Clinic/Center | 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 | 2014-04-17 |
| 1508294091 | South Shore School of Leadership Health Center | Clinic/Center | 7627 S Constance Ave, Chicago, IL 60649-4009 | 2013-10-22 |
| 1043545007 | Circle Family Healthcare Network | Clinic/Center | 231 N Pine Ave, Chicago, IL 60644-2333 | 2009-10-08 |
| 1174765945 | Mclaren Oakland | Clinic/Center | 8172 Reliable Pkwy, Chicago, IL 60686-0001 | 2009-03-25 |
| 1740408186 | Swedish Covenant Hospital | Clinic/Center | 3436 W Wilson Ave, Chicago, IL 60625-5318 | 2007-04-23 |
| 1194845495 | Cook County | Clinic/Center | 4859 S Wabash Ave, Chicago, IL 60615-1008 | 2007-03-30 |
| 1831219450 | Cook County | Clinic/Center | 231 N Pine Ave # 133b, Chicago, IL 60644-2333 | 2007-03-29 |
| 1972623528 | Cook County | Clinic/Center | 4934 S Wabash Ave Rm 165, Chicago, IL 60615-2136 | 2007-03-29 |
| 1609486794 | Mollie A Kopp | Clinic/Center | 1127 N Oakley Blvd Fl 3, Chicago, IL 60622-3507 | 2020-08-04 |
| Find all providers in CHICAGO | ||||
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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.