Individual
DR. JACOB JUSTIN FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 N HALSTED ST STE 400, CHICAGO, IL 60657-8480
(773) 296-5500
Mailing address
3000 N HALSTED ST STE 4000, CHICAGO, IL 60657-5188
(312) 296-5500
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036159437
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2017
Last updated
06/09/2022
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