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NPI Code Detail

MEDICARE: DR. COLIN FRECCIA M.D.

MEDICARE: DR. COLIN FRECCIA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician036.123067IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F400726978OTHERILMEDICARE PTAN
3F400726981OTHERILMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659405231
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. COLIN FRECCIA M.D.
Provider Business Mailing Address
First Line : PO BOX 603725
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3725
Country : US
Telephone Number : 828-575-2625
Fax Number : 828-350-2174
Provider Business Practice Location Address
First Line : 1460 N HALSTED ST STE 506
Second Line :
City : CHICAGO
State : IL
Zip : 60642-2615
Country : US
Telephone Number : 773-883-0274
Fax Number : 773-883-0208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 01/26/2024

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Directions to “ DR. COLIN FRECCIA M.D.” Practice Location

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