Individual provider Active NPI

Timothy John Friedrich, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Frankfort, IL
National Provider Identifier
1649434036
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016-005440 Issued in IL
Practice address
19552 S Harlem Ave
Frankfort, IL 60423-6733
Phone
(815) 928-8050
Fax
(815) 928-8932
NPI assigned
Jul 15, 2008
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016-005440 IL Primary

Addresses

Primary practice location

19552 S Harlem Ave
Frankfort, IL 60423-6733

Mailing address

250 S Northwest Hwy Ste 200
Park Ridge, IL 60068-4252
Phone (847) 324-3976

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000461 IL Practitioner - Podiatry 3274705223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1870 Silver Cross Blvd
New Lenox, IL 60451-8639
Phone (815) 462-3474

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-7097

19552 S Harlem Ave
Frankfort, IL 60423-6733
Phone (815) 469-3453

2101 Waukegan Rd
Bannockburn, IL 60015-1836

350 N Wall St
Kankakee, IL 60901-2901
Phone (815) 933-1671

500 W Court St
Kankakee, IL 60901-3661
Phone (815) 937-2400

6712 N Convent St
Bourbonnais, IL 60914-1528
Phone (815) 928-8050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.07 of 100Reported as group
Quality
76.54
Promoting interoperability
83
Improvement activities
40
Cost
74.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue287
Removal of skin lesions1-10
Removal of nail tissue160
Removal or shaving of skin growth34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135000648ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Mar 1, 2020 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Mar 1, 2020 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Oak ASC, LLC Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

6712 N Convent St
Ste 200
Bourbonnais, IL 60914
Phone (815) 348-9500

400 S Kennedy Dr
Ste 100
Bradley, IL 60915
Phone (815) 928-8050

5057 Paysphere Cir
Chicago, IL 60674

900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090

19552 S Harlem Ave
Frankfort, IL 60423
Phone (815) 464-3525

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1649434036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S NORTHWEST HWY STE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684252",
            "telephone_number": "847-324-3976",
            "fax_number": "847-929-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19552 S HARLEM AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604236733",
            "telephone_number": "815-928-8050",
            "fax_number": "815-928-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDRICH",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016-005440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.