DR. JACOB JUSTIN FRIEDMAN (NPI# 1497296800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497296800 |
Entity Type | Individual |
Full Name | DR. JACOB JUSTIN FRIEDMAN |
Credential | MD |
Practice Address |
1611 W Harrison St Ste 550 Chicago IL 60612-4861 |
Practice Telephone | 3128426100 |
Practice Fax Number | 3129426225 |
Mailing Telephone | 3128426100 |
Mailing Fax Number | 3129426225 |
Enumeration Date | 2017-03-17 |
Last Update Date | 2017-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922000561 | Jacob Friedman | Orthopaedic Surgery | 101 Delta Park Dr, Shelby, NC 28150-3575 | 2005-08-12 |
1427666387 | Jacob Friedman | Behavioral Analyst | 135 W 50th St, New York, NY 10020-1201 | 2020-07-16 |
1851892178 | Jacob Friedman | Chiropractor | 72 E Sunset Way, Issaquah, WA 98027 | 2018-02-22 |
1134667397 | Jacob Friedman | Case Manager/Care Coordinator | 204 Hampton Dr, Venice, CA 90291-2623 | 2017-02-08 |
1790066611 | Jacob Eric Friedman | Physical Therapist | 4605 Duke St, Alexandria, VA 22304-2505 | 2011-09-06 |
1356456610 | Jacob Friedman | Anesthesiology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-08-20 |
Street Address |
1611 W HARRISON ST STE 550 |
City | CHICAGO |
State | IL |
Zip Code | 60612-4861 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043248503 | Elias M Michaelides | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612 | 2006-06-30 |
1457912123 | Michelle Elaine Mark | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2019-06-24 |
1467870964 | Anatoli Frances Karas | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2014-04-01 |
1891129557 | Meghan Elizabeth Hoppes | Physician Assistant | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2013-08-29 |
1235491697 | Ryan Micheal Smith | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612 | 2012-06-12 |
1659696870 | Bobby Aliff Tajudeen | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2010-03-30 |
1114198678 | Peter Charles Revenaugh | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612 | 2008-03-12 |
1861557605 | Kerstin M Stenson | Otolaryngology | 1611 W Harrison St Ste 550, Chicago, IL 60612-4861 | 2006-12-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
Find all providers in zip 60612 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205443975 | Nickolas Armstrong | Student in an Organized Health Care Education/Training Program | 2828 N Pine Grove Ave Apt 618, Chicago, IL 60657-6137 | 2020-09-28 |
1134735962 | Kalvin Cheuk Hang Lung | Student in an Organized Health Care Education/Training Program | 675 N St Clair St 17th Floor, Chicago, IL 60611 | 2020-09-17 |
1487267845 | Ashley Marie Sablich | Student in an Organized Health Care Education/Training Program | 250 E Huron Street, Suite 1-200, Chicago, IL 60611 | 2020-08-26 |
1275146599 | Ryan Mather | Student in an Organized Health Care Education/Training Program | 155 N Michigan Ave Ste 566, Chicago, IL 60601-7799 | 2020-08-26 |
1831701010 | Alexandra Klonis | Student in an Organized Health Care Education/Training Program | 676 N Saint Clair St Ste 6-108, Chicago, IL 60611-2927 | 2020-08-19 |
1851903389 | Brittney Christine Evans | Student in an Organized Health Care Education/Training Program | 1901 N Clybourn Ave Ste 302&304, Chicago, IL 60614-5090 | 2020-08-17 |
1205446358 | Kai Lai Chu | Student in an Organized Health Care Education/Training Program | 600 N Fairbanks Ct Unit 3505, Chicago, IL 60611-5869 | 2020-08-04 |
1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
1407474463 | Madison Nicole Schulenberg | Student in an Organized Health Care Education/Training Program | 1111 W 14th Pl Unit 119, Chicago, IL 60608-2796 | 2020-07-07 |
Find all providers in CHICAGO |
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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.