Individual
MAXIMILIAN WILSON FREMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 506-3161
Mailing address
5080 N ELSTON AVE, CHICAGO, IL 60630-2459
(773) 506-3161
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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