Individual
DR. COLIN FRECCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1460 N HALSTED ST STE 506, CHICAGO, IL 60642-2615
(773) 883-0274
(773) 883-0208
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
036.123067
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123067
—
IL
01
—
F400726978
MEDICARE PTAN
IL
01
—
F400726981
MEDICARE PTAN
IL
Enumeration date
03/15/2007
Last updated
01/26/2024
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