Organization Active NPI

Neil R Friedman MD LTD

  • Urology Physician
  • Skokie, IL
National Provider Identifier
1578766994
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NEIL R FRIEDMAN MD LTD
Practice address
4711 W Golf Road
Suite 910
Skokie, IL 60076-1247
Phone
(847) 673-6505
Fax
(847) 673-6334
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Neil R Friedman, MD
Title
Owner
Phone
(847) 673-6505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X IL Primary

Addresses

Primary practice location

4711 W Golf Road
Suite 910
Skokie, IL 60076-1247

Mailing address

4711 W Golf Road
Suite 910
Skokie, IL 60076-1247
Phone (847) 673-6505

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1578766994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 W GOLF ROAD",
            "address_2": "SUITE 910",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761247",
            "telephone_number": "847-673-6505",
            "fax_number": "847-673-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 W GOLF ROAD",
            "address_2": "SUITE 910",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761247",
            "telephone_number": "847-673-6505",
            "fax_number": "847-673-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL R FRIEDMAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-673-6505",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.