National Provider Identifier Database

PETER D FRIES, MD – NPI #1942289996
Ophthalmic Plastic and Reconstructive Surgery

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.


Contact Information

PETER D FRIES, MD
2160 S 1ST AVE
MAYWOOD, IL60153-3328
Phone: 708-216-9000
Fax:
Website:
Specialty Taxonomy Code
* Ophthalmic Plastic and Reconstructive Surgery 207WX0200X
Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for PETER D FRIES

NPI Number 1942289996
Credentials MD
Entity Individual
Enumeration date 01/10/2006
Last updated 10/28/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • IA License #: 28136
  • IL License #: 036082456
  • IA Medicaid: 0084467
  • IA Other: 0060350 IA GROUP MEDICAID
  • IA Other: 26568 IA GROUP MEDICARE
  • IL Other: 790730 IL GROUP MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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