Individual
BRETT DAVID FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5006 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-7339
(779) 205-0315
Mailing address
3 SHADOW CREEK CT, LAKE IN THE HILLS, IL 60156-5930
(815) 236-7278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011472
IL
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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