Jamie Friedman, MS OTR/L
Individual provider Active NPI Contractor · Oak Park, IL
NPI 1811260409 · NPPES record last updated May 9, 2016
Key facts
- NPI
- 1811260409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 056-00764 (IL)
- Practice address
- 820 North Blvd
Oak Park, IL 60301-1351 - Phone
- (847) 951-4948
- NPI assigned
- Feb 14, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056-00764 | IL | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 056-00764 | IL | Yes |
Addresses
Primary practice location
820 North Blvd
Oak Park, IL 60301-1351
Mailing address
2459 W Sunnyside Ave
Unit G
Chicago, IL 60625-3047
Phone (847) 951-4948
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36-4460218 | Other | PEDIATRIC OCCUPATIONAL THERAPY |
Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.