DR. PETER D FRIES MD NPI 1942289996

NPI Information

NPI: 1942289996
Provider Name: DR. PETER D FRIES, MD
Classification: Ophthalmology - 207WX0200X
Specialization: Ophthalmic Plastic and Reconstructive Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153
Phone: (708) 216-9000

Map and Directions

Get Directions

NPI Details

DR. Peter D Fries, MD is an ophthalmic plastic and reconstructive surgery ophthalmology in Maywood, IL with 43 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. DR. Peter D Fries, MD NPI is 1942289996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Graduation Year:1982

The provider's business location address is:

2160 S 1ST AVE
MAYWOOD, IL
ZIP 60153-328
Phone: (708) 216-9000

The NPI 1942289996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 10/28/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207WX0200X	Ophthalmology	Ophthalmic Plastic and Reconstructive Surgery	036082456	ILLINOIS	Yes
2	207W00000X	Ophthalmology		28136	IOWA	No
3	207WX0200X	Ophthalmology	Ophthalmic Plastic and Reconstructive Surgery	28136	IOWA	No
4	207W00000X	Ophthalmology		036082456	ILLINOIS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0084467	MEDICAID	IOWA
2	790730	OTHER	ILLINOIS	IL GROUP MEDICARE
3	0060350	OTHER	IOWA	IA GROUP MEDICAID
4	26568	OTHER	IOWA	IA GROUP MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI