Doctor Name: | JAN CARL FRIBERG |
NPI Number: | 1073666251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 36-063631 |
Business Practice Address: | 385 Park Ave Glencoe, IL - 600221551 |
Business Phone Number: | 8478353388 |
Business Fax Number: | 8478353637 |
Mailing Address: | 385 Park Ave, GLENCOE |
State: | IL |
Postal Code: | 600221551 |
Phone Number: | 8478353388 |
Fax Number: | 8478353637 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VE0102X |
License Number: | 36-063631 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Reproductive Endocrinology |
Taxonomy Definition: | An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |