Mark Daniel Freedman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036059108 Issued in IL

Practice address

6374 N Lincoln Ave Ste 312
Chicago, IL 60659-1224

Phone

(773) 654-3311

Fax

(847) 332-1067

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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 1

Specialty

Family Practice

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1978

Medicare assignment

May accept Medicare assignment

Group practices

Freedman RPM Medical SCGroup PAC ID 0749634293, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Freedman RPM Medical SC

  • General Practice Physician
  • Skokie, IL
  • NPI 1346931821
  Medicare reassignment Care Compare group NPD
• Uptown Internal Medicine & Gastroenterology

  • Gastroenterology Physician
  • New Orleans, LA
  • NPI 1063596658
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1467493049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591224",
            "telephone_number": "773-654-3311",
            "fax_number": "773-654-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 312",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591224",
            "telephone_number": "773-654-3311",
            "fax_number": "847-332-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036059108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059108",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freedman & Katz Psychotherapy PLLC
• Anna Freedman, MSW, LSW
• David J. Freedman
• Linda Freedman, M.S.W., PHD
• Lynn Freedman, CPNP
• Paula Freedman, PSY.D.
• Shauna Rosenberg Freedman, PSY.D.
• Sydney Ariel Freedman, PA-C
• Freedom Anesthesia Services LLC
• Freedom Care of Illinois LLC

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.