Organization
MARK J FRIEDMAN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN HNATIW (ACCT MANAGER)
(630) 241-1495
Entity
Organization
Contact information
Practice address
400 WILMETTE AVE, GLENVIEW, IL 60025-3261
(630) 241-1495
(630) 241-1543
Mailing address
400 WILMETTE AVE, GLENVIEW, IL 60025-3261
(630) 241-1495
(630) 241-1543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036103961
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103961
—
IL
Enumeration date
08/03/2016
Last updated
08/03/2016
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