Organization Active NPI

Freedom Woods, Inc.

  • Rehabilitation Clinic/Center
  • Morton Grove, IL
National Provider Identifier
1508087651
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
FREEDOM WOODS, INC.
Practice address
9501 Austin Ave
Morton Grove, IL 60053-1505
Phone
(847) 967-9800
Fax
(847) 965-1655
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Dr. Jeff Lee, M.D.
Title
Owner
Phone
(847) 967-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

9501 Austin Ave
Morton Grove, IL 60053-1505

Mailing address

9501 Austin Ave
Morton Grove, IL 60053-1505
Phone (847) 967-9800

National Provider Directory

National Provider Directory

Locations

9501 Austin Ave
Morton Grove, IL 60053
Phone (773) 370-9283

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1508087651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 AUSTIN AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531505",
            "telephone_number": "847-967-9800",
            "fax_number": "847-965-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 AUSTIN AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531505",
            "telephone_number": "847-967-9800",
            "fax_number": "847-965-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM WOODS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-967-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.