Organization
INDEPENDENT PHYSICIANS AT MERCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERE FREIDHEIM M.D. (CHAIRMAN)
(312) 567-2156
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE, RM 2-601, CHICAGO, IL 60616-2333
(312) 567-2156
(312) 328-7829
Mailing address
2525 S MICHIGAN AVE, RM 2-601, CHICAGO, IL 60616-2333
(312) 567-2156
(312) 328-7829
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
56353046
IL
Other
Enumeration date
11/14/2006
Last updated
08/22/2020
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