Individual
DR. PETER E FRIEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
2850 S WABASH AVE STE 203, CHICAGO, IL 60616-2492
(312) 808-0621
(312) 808-0655
Mailing address
2850 S WABASH AVE STE 203, CHICAGO, IL 60616-2492
(312) 808-0621
(312) 808-0655
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
036-049-043
IL
207RH0003X
Hematology & Oncology Physician
036-049043
IL
207RH0003X
Hematology & Oncology Physician
Primary
D87004
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-049043
—
IL
Enumeration date
07/19/2006
Last updated
03/08/2022
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