Freed, Marc A
Freed, Marc A is an individual health care provider with primary practice located at 8711 W Cermak Rd , North Riverside IL 60546-1166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Freed, Marc A can be contacted via phone (708) 442-7979.Contact Information
Primary practice address
8711 W Cermak Rd
North Riverside IL 60546-1166
Phone: (708) 442-7979
Fax: (708) 442-8574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036063230 | Illinois |
Profile Details
| NPI number | 1578556585 |
|---|---|
| LBN Legal business name | Freed, Marc A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Aug 24th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578556585 | NPPES |
| Illinois | MEDICAID | 036063230 |
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