Active NPI
John P Freeland MD SC
- Nephrology Physician
- Waukegan, IL
National Provider Identifier
1154470243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- JOHN P FREELAND MD SC
- Practice address
- 1616 Grand Avenue
Waukegan, IL 60085 - Phone
- (847) 623-0032
- Fax
- (847) 623-0505
- NPI assigned
- Jan 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John P Freeland, MD
- Title
- Pres
- Phone
- (847) 623-0032
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | IL | Primary |
Addresses
Primary practice location
1616 Grand Avenue
Waukegan, IL 60085
Mailing address
1616 Grand Avenue
Waukegan, IL 60085
Phone (847) 623-0032
National Provider Directory
National Provider DirectoryLocations
1616 Grand Ave
Waukegan, IL 60085
Phone (847) 249-0850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154470243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 GRAND AVENUE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "60085",
"telephone_number": "847-623-0032",
"fax_number": "847-623-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 GRAND AVENUE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "60085",
"telephone_number": "847-623-0032",
"fax_number": "847-623-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN P FREELAND MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FREELAND",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "847-623-0032",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.