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Organization
SOUTH SHORE SCHOOL OF LEADERSHIP HEALTH CENTER
Active
Organization
SOUTH SHORE SCHOOL OF LEADERSHIP HEALTH CENTER
Active
Other names
Friedell Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER FRIEDELL M.D. (PRESIDENT)
(312) 808-0621
Entity
Organization
Contact information
Practice address
7627 S CONSTANCE AVE, CHICAGO, IL 60649-4009
(773) 535-7406
(312) 808-0655
Mailing address
2850 S WABASH AVE, SUITE 203, CHICAGO, IL 60616-2955
(312) 808-0621
(312) 808-0655
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
042617358
IL
Other
Enumeration date
10/22/2013
Last updated
10/30/2013
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