Individual provider Active NPI

Jason Douglas Freeman, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
National Provider Identifier
1104179142
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036.140610 Issued in IL
Practice address
711 S Dearborn St Unit 705
Chicago, IL 60605-3820
Phone
(708) 966-9283
Fax
(708) 258-1632
NPI assigned
Oct 15, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036.140610 IL Primary

Addresses

Primary practice location

711 S Dearborn St Unit 705
Chicago, IL 60605-3820

Mailing address

711 S Dearborn St Unit 705
Chicago, IL 60605-3820
Phone (708) 966-9283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160803001561 NY Practitioner - Physical Medicine and Rehabilitation 2365736089 Reassigns benefits to 3 organizations
I20210111002079 IL Practitioner - Physical Medicine and Rehabilitation 2365736089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

540 N Dearborn St
Unit 10161
Chicago, IL 60610-1020
Phone (708) 966-9283

Hospital & facility affiliations

  • Humboldt Park Health Hospital, Chicago, IL, CCN 140206
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.140610ILMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NYU Langone Hospitals CurrentSince Dec 27, 2016 Accepting new patients
New York University Physical Medicine & Rehabilitation CurrentSince Jul 1, 2016 Accepting new patients
Prairie State Rehab, LLC Physical Medicine & Rehabilitation CurrentSince Nov 25, 2020 Accepting new patients
NYU Langone Hospitals CurrentSince Dec 27, 2016 Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Dec 17, 2018 Accepting new patients
New York University Physical Medicine & Rehabilitation CurrentSince Jul 1, 2016 Accepting new patients
NYU Langone Hospitals Physical Medicine & Rehabilitation Current Accepting new patients

Locations

540 N Dearborn St
Unit 10161
Chicago, IL 60610
Phone (708) 275-4087

1249 5th Ave
New York, NY 10029
Phone (212) 360-1000

1339 York Ave
New York, NY 10021
Phone (212) 249-4970

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

32 Cedar Ln
Ossining, NY 10562
Phone (914) 762-1600

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: jfreeman3@hiemail.healtheconnections.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1104179142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S DEARBORN ST UNIT 705",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053820",
            "telephone_number": "708-966-9283",
            "fax_number": "708-258-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S DEARBORN ST UNIT 705",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053820",
            "telephone_number": "708-966-9283",
            "fax_number": "708-258-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JASON",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036.140610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.