David Fretzin in Park Ridge - Clinical & Laboratory Dermatological Immunology
David Fretzin - NPI 1891784401
David Fretzin is a Clinical & Laboratory Dermatological Immunology in Park Ridge, Illinois. David Fretzin practices all healthcare services and medical treatments related to Clinical & Laboratory Dermatological Immunology. The NPI Number for David Fretzin is 1891784401. The last update date is 2016-03-25.
David Fretzin's current location address is 41 S Prospect Ave, Park Ridge, Illinois. You can contact this provider via phone number 8478234113 and fax number 8478230059. The mailing address for David Fretzin is 41 S Prospect Ave, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Fretzin |
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Address | 41 S Prospect Ave, Park Ridge, Illinois |
Phone Number | 8478234113 |
Fax Number | 8478230059 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1891784401 |
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Provider Enumeration Date | 2005-10-17 |
Last Updated Date | 2016-03-25 |
Provider Mailing Address Detail
Address | 41 S Prospect Ave |
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City | Park Ridge |
State | Illinois (IL) |
Post Code | 600684138 |
Phone Number | 8478234113 |
Fax Number | 8478230059 |
Provider's Primary Taxonomy Detail
Speciality | Clinical & Laboratory Dermatological Immunology |
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Taxonomy | 207Ni0002X |
Licence No | 36038658 |
Definition: A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
161521967 | IL | BCBS OF IL PIN | |
70003505 | IL | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to David Fretzin by the Centers for Medicare & Medicaid Services?
The David Fretzin has been assigned the NPI (National Provider Identifier) 1891784401 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where David Fretzin's facilities are geographically located?
The facilities of David Fretzin are physically situated at the following location: 41 S Prospect Ave, Park Ridge, IL, 600684138.
What is the David Fretzin's area of specialization and corresponding taxonomy classification?
The David Fretzin's specialty field is Clinical & Laboratory Dermatological Immunology, and it falls under the taxonomy code 207Ni0002X, which categorizes healthcare providers based on their specialties.
When did the David Fretzin receive its 1891784401?
The David Fretzin was issued its 1891784401 on 2005-10-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to David Fretzin most recently updated or revised?
The information pertaining to David Fretzin, including its address, specialty, and other relevant details, was last updated or revised on 2016-03-25.