CHARLES FREY JR. (NPI# 1356321244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356321244 |
| Entity Type | Individual |
| Full Name | CHARLES FREY JR. |
| Credential | DO |
| Practice Address |
698 Featherstone Rd Rockford IL 61107-6303 |
| Practice Telephone | 8153983277 |
| Practice Fax Number | 8154847001 |
| Mailing Telephone | 8153983277 |
| Mailing Fax Number | 8154847001 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 036063367 | IL | Allopathic & Osteopathic Physicians |
| N | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
036063367 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036063367 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497097190 | Charles F Frey | Special Hospital | 2351 E Green Springs Ct, Rescue, CA 95672-9424 | 2013-03-20 |
| 1780762583 | Charles Robert Frey Jr. | Chiropractor | 13359 Ferguson Valley Rd, Yeagertown, PA 17099-9682 | 2006-11-01 |
| Street Address |
698 FEATHERSTONE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595296 | Amy L Ailes Dinello | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2005-08-22 |
| 1285949800 | Syed Rafe Zaidi | Family Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2010-08-09 |
| 1154567964 | Leesa E Gillooley | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2008-12-29 |
| 1881889194 | Pedro Rodriguez | Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-10 |
| 1861687584 | Nipun Chhabra | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-06 |
| 1699968263 | Saint Anthony Medical Center | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-08-27 |
| 1124141825 | Terrence R Loughlin | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-09 |
| 1891817441 | Kavitha Subramanian | Internal Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-04 |
| 1497899009 | Dhaval M Patel | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-02-16 |
| 1790894897 | Sarah E Hagarty | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578674834 | Fatima T Mohiuddin | Allergy & Immunology | 1253 N Alpine Rd, Rockford, IL 61107 | 2006-08-31 |
| 1376586206 | Board of Trustees of The University of Illinois | Allergy & Immunology | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2006-06-14 |
| 1770563660 | Chester J. Mellies | Allergy & Immunology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649749813 | Thao T Doan | Allergy & Immunology | 523 Sandy Ln, Libertyville, IL 60048-3553 | 2018-11-17 |
| 1275063695 | Chicago Allergy & Asthma, LLC | Allergy & Immunology | 7447 W Talcott Ave Ste 308, Chicago, IL 60631-3714 | 2017-06-18 |
| 1982022810 | Kirk Van Shepard II | Allergy & Immunology | 3000 N Halsted St Ste 400, Chicago, IL 60657-8480 | 2014-03-28 |
| 1790102176 | Jennifer Christine Simonaire | Allergy & Immunology | 908 N Elm St Ste 205, Hinsdale, IL 60521-3637 | 2014-03-24 |
| 1558794446 | Sarah M Boudreau-romano | Allergy & Immunology | 1300 N Lake Shore Dr Apt 3a, Chicago, IL 60610-2157 | 2013-08-14 |
| 1821420209 | Donald Ernest Temple | Allergy & Immunology | 110 E Delaware Pl, Chicago, IL 60611-1481 | 2013-08-07 |
| 1013259647 | Melissa Lee Robinson | Allergy & Immunology | 430 Pennsylvania Ave Ste 220, Glen Ellyn, IL 60137 | 2013-03-21 |
| 1871859645 | Sarah Garon | Allergy & Immunology | 1460 N Halsted St Ste 506, Chicago, IL 60642-2605 | 2012-04-06 |
| 1386919421 | Henry J. Dold | Allergy & Immunology | 1300 Kenilworth Av, Glenview, IL 60025-2204 | 2012-03-21 |
| 1386919538 | Diosdado T Lim | Allergy & Immunology | 7520 W. Ute Ln, Palos Heights, IL 60463-2076 | 2012-03-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.