Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036111393 | IL |
Y | 207RI0011X | Interventional Cardiology | 036111393 | IL |
NPI | 1114007234 |
---|---|
Provider Name | Dr. Jeffrey H Freihage |
First Address | Schaumburg, IL 60173-4836 |
Second Address | Schaumburg, IL 60173-4776 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 20/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036111393 | (05) | IL |