David Fries

Clinical Social Worker · Waukegan, IL

Individual Active NPI

NPI number 1386091965

Practice location

671 S Lewis Ave
Waukegan, IL 60085-6101
Phone
(847) 782-4130
Fax
(847) 782-1030

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NPI record

NPI
1386091965
Entity type
Individual (Type 1)
Enumeration date
May 24, 2016
Last updated
May 24, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149.006690 IL

About David Fries

David Fries is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 671 S Lewis Ave, Waukegan, IL 60085-6101. The NPI number 1386091965 was assigned on May 24, 2016 and the record was last updated on May 24, 2016.

David Fries lists a license in the registry: #149.006690 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of David Fries?

The NPI number is 1386091965.

What is the phone number of David Fries?

The phone number listed for the practice location is (847) 782-4130.

Where is David Fries located?

671 S Lewis Ave, Waukegan, IL 60085-6101.

What is the taxonomy code for David Fries?

The primary taxonomy code is 1041C0700X – Clinical Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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