Friedman, Ellen B

Friedman, Ellen B is an sole proprietor health care provider with primary practice located at 5400 N Virginia Ave , Chicago IL 60625-3916. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Friedman, Ellen B can be contacted via phone (773) 561-0797.

Contact Information

Primary practice address
5400 N Virginia Ave Chicago IL 60625-3916
Phone: (773) 561-0797
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-002158 Illinois

Profile Details

NPI number 1528139862
LBN Legal business name Friedman, Ellen B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 10th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528139862 NPPES
Illinois Other 01634229 BCBS PROVIDER #

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