Organization
JOSEPH E FRYDMAN, MD,SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH E FRYDMAN M.D. (OWNER)
(847) 336-7797
Entity
Organization
Contact information
Practice address
2634 GRAND AVE STE 201, WAUKEGAN, IL 60085-2460
(847) 336-7797
(847) 336-9860
Mailing address
2634 GRAND AVE STE 201, WAUKEGAN, IL 60085-2460
(847) 336-7797
(847) 336-9860
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
036037979
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036037979
—
IL
Enumeration date
08/24/2006
Last updated
08/28/2008
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