Doctor Name: | DR. GARY J FRIEND |
NPI Number: | 1821166810 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 178-001404 |
Business Practice Address: | 2501 Compass Rd Suite 120 Glenview, IL - 600268000 |
Business Phone Number: | 8477299580 |
Business Fax Number: | 8477299480 |
Mailing Address: | 2501 Compass Rd, Suite 120 GLENVIEW |
State: | IL |
Postal Code: | 600268000 |
Phone Number: | 8477299580 |
Fax Number: | 8477299480 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 178-001404 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |