Individual provider Active NPI

Jody Freeman, MD

  • Obstetrics & Gynecology Physician
  • Elmhurst, IL
National Provider Identifier
1699740977
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036107691 Issued in IL
Practice address
133 E Brush Hill Rd Ste 400
Elmhurst, IL 60126-5662
Phone
(630) 432-6340
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036107691 IL Primary

Addresses

Primary practice location

133 E Brush Hill Rd Ste 400
Elmhurst, IL 60126-5662

Mailing address

PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200

Other identifiers 1

IdentifierTypeStateIssuer
036107691MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jfreeman479@direct.edward.org
Direct Messaging Address jfreeman479@dulyhealthandcare.direct-ci.com

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041026000399 IL Practitioner - Obstetrics/Gynecology 8123089828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

133 E Brush Hill Rd
Suite 100
Elmhurst, IL 60126-5660
Phone (630) 501-0630

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-0096

177 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (630) 646-6020

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036107691ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Dec 1, 2023 Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 1, 2005 Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 1, 2005 Accepting new patients
Endeavor Health Medical Group Obstetrics & Gynecology CurrentSince Dec 1, 2023 Accepting new patients
Wyse Eyecare SC Past Accepting new patients
Rush University Medical Center Past Accepting new patients
Mobile Anesthesiologists Chicago LLC Past Accepting new patients

Locations

30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210

9532 Eagle Way
Chicago, IL 60678

1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

133 E Brush Hill Rd
Ste 100
Elmhurst, IL 60126
Phone (630) 501-0630

133 E Brush Hill Rd
Ste 400
Elmhurst, IL 60126
Phone (630) 432-6340

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

430 Pennsylvania Ave
Ste 340
Glen Ellyn, IL 60137
Phone (630) 545-3612

40 S Clay St
Ste 100
Hinsdale, IL 60521
Phone (630) 920-2229

40 S Clay St
#100
Hinsdale, IL 60521
Phone (630) 920-2229

Interoperability endpoints

  • Direct secure messaging: jfreeman479@dulyhealthandcare.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1699740977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 713260",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E BRUSH HILL RD STE 400",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265662",
            "telephone_number": "630-432-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JODY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036107691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036107691",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfreeman479@direct.edward.org",
            "affiliation": "N",
            "address_1": "133 E Brush Hill Rd Ste 400",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265662",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfreeman479@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "133 E Brush Hill Rd Ste 400",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.