Healthcare Provider Details

I. General information

NPI: 1982535845
Provider Name (Legal Business Name): GIOVANNI FRETES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 N SAINT CLAIR ST STE 560
CHICAGO IL
60611-2982
US

IV. Provider business mailing address

468 W MELROSE ST APT 556
CHICAGO IL
60657-3832
US

V. Phone/Fax

Practice location:
  • Phone: 312-926-9365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.307310
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: