JOSEPH E FRYDMAN, MD,SC (NPI# 1861509051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861509051 |
Entity Type | Organization |
Organization Name | JOSEPH E FRYDMAN, MD,SC |
Practice Address |
2634 Grand Ave Ste 201 Waukegan IL 60085-2460 |
Practice Telephone | 8473367797 |
Practice Fax Number | 8473369860 |
Mailing Telephone | 8473367797 |
Mailing Fax Number | 8473369860 |
Enumeration Date | 2006-08-24 |
Last Update Date | 2008-08-28 |
Authorized Official Name | MR. JOSEPH E FRYDMAN (OWNER) |
Authorized Official Telephone | 8473367797 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
036037979 | IL | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036037979 | 05 |
Street Address |
2634 GRAND AVE STE 201 |
City | WAUKEGAN |
State | IL |
Zip Code | 60085-2460 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
Find all providers in zip 60085 |
Taxonomy Code | 156FX1100X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Ophthalmic |
Definition to come... |
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1760979736 | Emerging Vision Inc | Technician/Technologist | 520 N. Michigan Ave, The Shops North Bridge, Ste 124, Chicago, IL 60611 | 2018-04-16 |
1033353644 | Gailey Eye Clinic, Ltd | Technician/Technologist | 2435 Village Green Pl, Champaign, IL 61822-7676 | 2009-04-27 |
1083819718 | Gailey Eye Clinic, Ltd | Technician/Technologist | 47 E Liberty Ln, Danville, IL 61832-1440 | 2007-06-21 |
1184829814 | Gailey Eye Clinic, Ltd | Technician/Technologist | 322 W Marion Ave, Forsyth, IL 62535-1064 | 2007-06-21 |
1275738908 | Gailey Eye Clinic, Ltd | Technician/Technologist | 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-06-21 |
1487859401 | Gailey Eye Clinic, Ltd | Technician/Technologist | 2121 Marquette Rd, Peru, IL 61354-1588 | 2007-06-19 |
1467582460 | Robert S. Baller, Md,pc | Technician/Technologist | 210 1-2 N Williamsburg Drive, Bloomington, IL 61704 | 2007-03-07 |
1285794362 | Tatjana K Pavlovic | Technician/Technologist | 2719 W Peterson Ave, Chicago, IL 60659-3919 | 2006-12-11 |
1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
1538799895 | Kortney Kathleen Marszalek | Technician/Technologist | 9645 Lincolnway Ln, Frankfort, IL 60423-1866 | 2020-01-24 |
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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.