Individual
JACOB FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-0312
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-0312
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
125085753
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
06/06/2025
Last updated
07/17/2025
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