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Individual

JENNIFER FRIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., LCPC

Contact information

Practice address
661 VALLEY RD, GLENCOE, IL 60022-1660
(312) 246-9300
Mailing address
661 VALLEY RD, GLENCOE, IL 60022-1660
(312) 246-9300

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
178.014169
IL
101YP2500X
Professional Counselor
Primary
180.013462
IL
207R00000X
Internal Medicine Physician
036-101491
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036-101491
IL
Enumeration date
06/05/2006
Last updated
03/01/2021
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