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Contact Information

PETER D FRIES, MD
2160 S 1ST AVE
MAYWOOD, IL60153-3328
 Phone: 708-216-9000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmic Plastic and Reconstructive Surgery

207WX0200X 18 Physician/Ophthalmology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for PETER D FRIES · (Male)

NPI Number 1942289996
Status Active
Credentials MD
Entity Individual
Enumeration date 01/10/2006
Last updated 10/28/2024 - More than a year ago
Sole proprietor 1 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(s) Not Available
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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