Provider Demographics
NPI:1225020795
Name:FREED, STEVE (RPH, CDE)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:
Last Name:FREED
Suffix:
Gender:M
Credentials:RPH, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 SOMERSET AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-2818
Mailing Address - Country:US
Mailing Address - Phone:847-945-7773
Mailing Address - Fax:
Practice Address - Street 1:1217 SOMERSET AVE
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-2818
Practice Address - Country:US
Practice Address - Phone:847-945-7773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0051027201183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist