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General NPI Number Information
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NPI Number | 1770756215
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Entity Type | Individual
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Provider Name | NICHOLAS C. FRISCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 21481 N. RAND RD., 2ND FL NCH COMMUNITY HEALTHCARE
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City | KILDEER
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State | IL
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Zip | 60047-3061
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Country | US
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Telephone | 331-221-9544
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Fax |
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Provider Business Mailing Address
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Address Line | 1431 N WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60622-1797
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Country | US
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Telephone | 773-235-1915
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Fax | 773-235-1999
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 036.135181
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 036135181
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License Number State | IL
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