Elizabeth Morick Friedman, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071-006059 Issued in IL

Practice address

7777 Lake St
Suite 114
River Forest, IL 60305-1734

Phone

(708) 689-0160

Fax

(708) 689-8158

NPI assigned

Feb 8, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1104165281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 CLINTON AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603023114",
            "telephone_number": "708-689-0160",
            "fax_number": "708-689-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 LAKE ST",
            "address_2": "SUITE 114",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051734",
            "telephone_number": "708-689-0160",
            "fax_number": "708-689-8158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ELIZABETH",
        "middle_name": "MORICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071-006059",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Deanne Fortado, OTR/L
• Wendy L Foster, MD
• Ross Andrew Fraser, D.D.S.
• James G Frazier, D.M.D., M.S.
• Fresenius Medical Care River Forest, LLC
• Anke Fronz, PTA
• Gabriela Zapata Alma Inc.
• Dhana L Ganesan, MD
• Marlem Garcia, MSW, LSW
• Garden Health Group LLC

• Clinical Neuropsychologist in River Forest, IL
• Providers in River Forest, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.