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Contact Information

WALTER I FRIED, PH.D., M.D.
3477 GRAND AVE
GURNEE, IL60031-3734
 Phone: 847-249-4660
 Fax: 847-249-4950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for WALTER I FRIED · (Male)

NPI Number 1497741342
Status Active
Credentials PH.D., M.D.
Entity Individual
Enumeration date 09/26/2005
Last updated 01/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036050042
  • WI License # 29201020
  • IL Medicaid 036050042
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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