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Individual

DR. LEE S FREEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
806 CENTRAL, SUITE 103, HIGHLAND PARK, IL 60035
(847) 433-4409
(847) 433-4495
Mailing address
806 CENTRAL, SUITE 103, HIGHLAND PARK, IL 60035
(847) 433-4409
(847) 433-4495

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036082494
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000014883
OFFICEMED SUBMITTER ID
IL
01
010066196
RAILROAD MEDICARE - PALMETTO
IL
01
1538112818
CORPORATE NPI
IL
01
3119081
AETNA/ US HEALTHCARE HMO
IL
01
4094389
AETNA / US HEALTHCARE
IL
01
743061573
PACIFICARE PPO
IL
Enumeration date
05/18/2006
Last updated
03/07/2023
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