Individual
DR. GARY J FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2501 COMPASS RD, SUITE 120, GLENVIEW, IL 60026-8000
(847) 729-9580
(847) 729-9480
Mailing address
2501 COMPASS RD, SUITE 120, GLENVIEW, IL 60026-8000
(847) 729-9580
(847) 729-9480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
178-001404
IL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016002959
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00114871
RAILROAD MEDICARE
IL
Enumeration date
11/30/2006
Last updated
11/10/2010
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