DR. JACOB JUSTIN FRIEDMAN


Address: 1611 W Harrison St Ste 550, Chicago, IL 60612-4861
Phone: 3128426100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JACOB FRIEDMAN

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

Office Location

Street Address 1611 W HARRISON ST STE 550
City CHICAGO
State IL
Zip Code 60612-4861

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City CHICAGO
Zip Code 60612

Improve Information

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Dataset Information

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.

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