Individual
MR. JERE FREIDHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 S MICHIGAN AVE, B-390, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 328-7895
Mailing address
2525 S MICHIGAN AVE, B-390, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 328-7895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036036737
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036036737
—
IL
Enumeration date
11/28/2005
Last updated
02/10/2012
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