Individual
MS. ELLEN B FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5400 N VIRGINIA AVE, CHICAGO, IL 60625-3916
(773) 561-0797
Mailing address
5400 N VIRGINIA AVE, CHICAGO, IL 60625-3916
(773) 561-0797
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-002158
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634229
BCBS PROVIDER #
IL
Enumeration date
11/10/2006
Last updated
07/08/2007
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