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FRIEDELL PRIMARY CARE
NPI 1508294091
Clinic/Center - Student Health in Chicago, IL

Active since October 22, 2013
7627 S CONSTANCE AVE, CHICAGO, IL 60649(773) 535-7406(312) 808-0655 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Friedell Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRIEDELL PRIMARY CARE (NPI 1508294091) is a healthcare organization registered as a student health in Chicago, Illinois and active in the NPI registry since October 2013. The organization lists Peter Friedell, President, as its authorized official.

NPPES Registry Identity

NPI1508294091
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameSOUTH SHORE SCHOOL OF LEADERSHIP HEALTH CENTER
Location Address7627 S CONSTANCE AVEChicago, IL 60649-4009
Mailing Address2850 S Wabash Ave, Suite 203Chicago, IL 60616-2955 · (312) 808-0621 · Fax (312) 808-0655
Phone(773) 535-7406
Fax(312) 808-0655
Organization SubpartNo
Authorized OfficialPeter FriedellPresident · (312) 808-0621
Enumeration DateOctober 22, 2013
Last NPPES UpdateOctober 30, 2013
✔ NPI 1508294091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
License✔ Licensed in IL · 042617358
7627 S CONSTANCE AVE, Chicago, IL 60649
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Other Names 1

Doing Business AsFriedell Primary Care

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Shore School Of Leadership Health Center's NPI number?

The NPI number for South Shore School Of Leadership Health Center is 1508294091. It was assigned to this organization in the NPPES registry on October 22, 2013. The provider is doing business as Friedell Primary Care.

Where is South Shore School Of Leadership Health Center located?

South Shore School Of Leadership Health Center is located at 7627 S Constance Ave, Chicago, IL 60649. The listed phone number is (773) 535-7406.

What is South Shore School Of Leadership Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for South Shore School Of Leadership Health Center was last updated on October 30, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.