Individual
JOHN FRIEDEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
675 N SAINT CLAIR ST, GALTER 17-200, CHICAGO, IL 60611-5975
(312) 695-8900
(312) 695-9194
Mailing address
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611-4546
(312) 695-8900
(312) 695-9194
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036113031
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113031
—
IL
Enumeration date
06/18/2006
Last updated
07/06/2009
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