Individual
DR. MARK DANIEL FREEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6374 N LINCOLN AVE STE 312, CHICAGO, IL 60659-1224
(773) 654-3311
(847) 332-1067
Mailing address
6374 N LINCOLN AVE STE 312, CHICAGO, IL 60659-1224
(773) 654-3311
(773) 654-3317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036059108
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059108
—
IL
Enumeration date
06/08/2006
Last updated
02/02/2022
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