Dr. Peter D Fries, MD
Dr. Peter D Fries, MD is an Ophthalmic Plastic and Reconstructive Surgery Physician in Maywood, Illinois. Licensed in Iowa and Illinois. Registered with an NPI since 2006.
- Licensed in
- IA, IL
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2160 S 1st AveMaywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ophthalmic Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 207WX0200X · Licence 036082456 (IL) |
|---|---|
| Ophthalmology Physician | Taxonomy 207W00000X · Licence 28136 (IA) |
| Ophthalmic Plastic and Reconstructive Surgery Physician | Taxonomy 207WX0200X · Licence 28136 (IA) |
| Ophthalmology Physician | Taxonomy 207W00000X · Licence 036082456 (IL) |
Record details
| NPI number | 1942289996 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | January 10, 2006 |
| Last updated in NPPES | October 28, 2024 |
| Certification date | October 28, 2024 |
| Mailing address | 777 Tanglefoot Ln, Bettendorf, IA 52722-1650 |