Mark J Friedman MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036103961 Issued in IL

Legal business name

MARK J FRIEDMAN MD

Practice address

400 Wilmette Ave
Glenview, IL 60025-3261

Phone

(630) 241-1495

Fax

(630) 241-1543

NPI assigned

Aug 3, 2016

Organization subpart

No

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

Authorized official

Name

Roman Hnatiw

Title

Acct Manager

Phone

(630) 241-1495

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1932652377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WILMETTE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253261",
            "telephone_number": "630-241-1495",
            "fax_number": "630-241-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WILMETTE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600253261",
            "telephone_number": "630-241-1495",
            "fax_number": "630-241-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J FRIEDMAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "HNATIW",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "ACCT MANAGER",
        "authorized_official_telephone_number": "630-241-1495"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036103961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103961",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Marcotte
• Susan B Mardoian, D.C.
• Irina Marginean, NP
• Karina Marin-Serrano, MS, BCBA
• Marinamindcare LTD
• Dorothy E Markese, COTA/L
• Aikaterini Markopoulou, M.D., PH.D.
• Benjamin R Marks, M.D./PH.D.
• Joanne Marlantis
• Jeffrey John Marogil, MD

• Psychiatry Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.