NPIMap

Organization Active NPI

Friedman Spine and Pain Clinic LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lisle, IL
National Provider Identifier
1497048508
Registry record updated May 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
036118634 Issued in IL
Legal business name
FRIEDMAN SPINE AND PAIN CLINIC LTD
Practice address
5205 Cypress CT
Lisle, IL 60532-2007
Phone
(312) 498-1961
NPI assigned
May 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2011

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

Authorized official

Name
Jarrod David Friedman, M.D.
Title
President
Phone
(312) 498-1961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 036118634 IL Primary

Addresses

Primary practice location

5205 Cypress CT
Lisle, IL 60532-2007

Mailing address

5205 Cypress CT
Lisle, IL 60532-2007
Phone (312) 498-1961

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1497048508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 CYPRESS CT",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322007",
            "telephone_number": "312-498-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 CYPRESS CT",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605322007",
            "telephone_number": "312-498-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIEDMAN SPINE AND PAIN CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JARROD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-498-1961",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "IL",
            "license": "036118634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; 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.