NPIMap

Organization Active NPI

Pef Clinic II, LTD.

Doing business as Friedell Primary Care

  • Student Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1407284664
Registry record updated Oct 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
042617358 Issued in IL
Legal business name
PEF CLINIC II, LTD.
Doing business as
Friedell Primary Care
Practice address
1955 E 75TH St
Chicago, IL 60649-3688
Phone
(773) 535-3850
Fax
(312) 808-0655
NPI assigned
Oct 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter Friedell, M.D.NPI 1356360531
Title
President
Phone
(312) 808-0621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 042617358 IL Primary

Addresses

Primary practice location

1955 E 75TH St
Chicago, IL 60649-3688

Mailing address

2850 S Wabash Ave
Suite 203
Chicago, IL 60616-2955
Phone (312) 808-0621

Other names 1

  • Friedell Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pef Clinic II LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1955 E 75th St
Chicago, IL 60649
Phone (773) 535-3850

2850 S Wabash Ave
Ste 203
Chicago, IL 60616
Phone (312) 225-5353

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1407284664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S WABASH AVE",
            "address_2": "SUITE 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162955",
            "telephone_number": "312-808-0621",
            "fax_number": "312-808-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 E 75TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493688",
            "telephone_number": "773-535-3850",
            "fax_number": "312-808-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEF CLINIC II, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-28",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "FRIEDELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-808-0621",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": "042617358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friedell Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.