Individual provider Active NPI

Emily Beth Friedman, PA-C

  • Physician Assistant
  • Lake Forest, IL
National Provider Identifier
1417232125
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-006215 Issued in IL
Practice address
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone
(847) 535-6150
Fax
(847) 535-7801
NPI assigned
Oct 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011010 MI
Physician Assistant 363A00000X MA065297 PA
Physician Assistant 363A00000X 027823 NY
Physician Assistant 363A00000X 50.007875RX OH
Physician Assistant 363A00000X PAT9106199 FL
Physician Assistant 363A00000X 085-006215 IL Primary

Addresses

Primary practice location

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658

Mailing address

1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 535-6150

Other practice location 1

890 Garfield Ave Ste 206
Libertyville, IL 60048-3100
Phone (847) 816-7495

Other practice location 2

115 Boyd Ave
Chittenango, NY 13037-1244
Phone (315) 560-1799

Other identifiers 1

IdentifierTypeStateIssuer
004142000MedicaidFL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Emily.Friedman@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.
Direct Messaging Address efriedman349242@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, IL, OH, PA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20120105000044 FL Practitioner - Physician Assistant 9133392137 Reassigns benefits to 1 organization
I20220126000151 NY Practitioner - Physician Assistant 9133392137 Reassigns benefits to 1 organization
I20220915001641 IL Practitioner - Physician Assistant 9133392137 Reassigns benefits to 3 organizations
I20221110001329 OH Practitioner - Physician Assistant 9133392137 Reassigns benefits to 1 organization
I20240214003988 PA Practitioner - Physician Assistant 9133392137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9106199FLMDPhysician Assistant
085-006215ILMDPhysician Assistant
027823NYMDPhysician Assistant
MA065297PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Mar 3, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Mar 3, 2025 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Jan 31, 2017 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Dec 1, 2022 Accepting new patients
FL-I Medical Services LLC Physician Assistant CurrentSince Jan 31, 2017 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Dec 1, 2022 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Fay Nutrition Past Accepting new patients
Laser Spine Institute, LLC Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

Dept 5777
Carol Stream, IL 60122

1475 E Belvidere Rd
Ste 1268
Grayslake, IL 60030
Phone (847) 535-8950

1000 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6150

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

Interoperability endpoints

  • Direct secure messaging: efriedman349242@direct.myadvocateaurora.org
  • Direct secure messaging: emily.friedman@direct.mybaycare.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1417232125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451658",
            "telephone_number": "847-535-6150",
            "fax_number": "847-535-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451658",
            "telephone_number": "847-535-6150",
            "fax_number": "847-535-7801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "890 Garfield Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483100",
            "country_code": "US",
            "telephone_number": "847-816-7495",
            "fax_number": "847-816-7497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Boyd Ave",
            "address_purpose": "LOCATION",
            "city": "Chittenango",
            "state": "NY",
            "postal_code": "130371244",
            "country_code": "US",
            "telephone_number": "315-560-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "EMILY",
        "middle_name": "BETH",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011010",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065297",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027823",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007875RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PAT9106199",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-006215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004142000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Emily.Friedman@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew Street",
            "address_2": "East Bldg 2nd Floor",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "efriedman349242@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "890 Garfield Ave Ste 206",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600483100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "890 Garfield Ave Ste 206",
            "city": "Libertyville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600483100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

Verify at the official NPI Registry.