DAVID FRETZIN (NPI# 1891784401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891784401 |
| Entity Type | Individual |
| Full Name | DAVID FRETZIN |
| Credential | MD |
| Practice Address |
41 S Prospect Ave Park Ridge IL 60068-4138 |
| Practice Telephone | 8478234113 |
| Practice Fax Number | 8478230059 |
| Mailing Telephone | 8478234113 |
| Mailing Fax Number | 8478230059 |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2016-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 036038658 | IL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
036038658 | IL | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
036038658 | IL | Allopathic & Osteopathic Physicians |
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
036-038658 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE | 070003505 | 01 |
| IL | BCBS OF IL PIN | 0161521967 | 01 |
| Street Address |
41 S PROSPECT AVE |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-4138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003026048 | Drs Robin & Fretzin Sc | Dermatology | 41 S Prospect Ave, Park Ridge, IL 60068-4138 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003026048 | Drs Robin & Fretzin Sc | Dermatology | 41 S Prospect Ave, Park Ridge, IL 60068-4138 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538313705 | Valeria Fugali | Dermatology | 1807 N Mohawk St, Unit B, Chicago, IL 60614-5213 | 2008-11-13 |
| 1922212539 | Neda Ashourian | Dermatology | 676 N. St. Clair Street, Suite 1600, Chicago, IL 60611-2997 | 2007-05-10 |
| 1972669109 | Raymond W Vahl | Dermatology | 11527 S Harlem Ave, Worth, IL 60482-2367 | 2006-12-30 |
| 1013983618 | David H Whitney | Dermatology | 3253 S Harlem Ave, Suite 1a, Berwyn, IL 60402-3073 | 2006-02-24 |
| 1205825056 | Amy L Brodsky | Dermatology | 2601 Compass Rd Ste 125, Glenview, IL 60026-8089 | 2005-10-14 |
| 1427589027 | Forefront Dermatology, S.c. | Dermatology | 1170 E Belvidere Rd, Suite 206, Grayslake, IL 60030 | 2017-03-24 |
| 1235685256 | Forefront Dermatology, S.c. | Dermatology | 2800 N Sheridan Rd, Suite 508, Chicago, IL 60657 | 2016-08-30 |
| 1750837761 | Forefront Dermatology, S.c. | Dermatology | 550 E Boughton Rd, Suite 170, Bolingbrook, IL 60440 | 2016-08-30 |
| 1871046995 | Forefront Dermatology, S.c. | Dermatology | 615 Valley View Dr, Suite 203, Moline, IL 61265 | 2016-07-25 |
| 1528430881 | Forefront Dermatology, S.c. | Dermatology | 507 W Kendall Dr, Suite 2, Yorkville, IL 60560 | 2015-10-27 |
| Find all providers with the same taxonomy | ||||
| City | PARK RIDGE |
| Zip Code | 60068 |
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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.