Individual
DR. DOUGLAS JOHN FROHLICH I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1229 N NORTH BRANCH ST, SUITE 210, CHICAGO, IL 60622-2473
(312) 939-5090
Mailing address
1229 N NORTH BRANCH ST, SUITE 210, CHICAGO, IL 60642-2473
(312) 939-5090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036074096
IL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
036-074096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036074096
IL MEDICAL LICENSE
IL
01
—
1699960690
NPI
—
Enumeration date
09/12/2007
Last updated
11/17/2008
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