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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