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NPI Code Detail

MEDICARE: KATHLEEN BRIDGET FREEMAN

MEDICARE: KATHLEEN BRIDGET FREEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AS0400XSurgical Physician Assistant
2363A00000XPhysician Assistant085.011786IL

General Provider Information

NPI Number : 1225872765
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN BRIDGET FREEMAN
Provider Business Mailing Address
First Line : 2650 RIDGE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60201-1700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 880 W CENTRAL RD STE 5000
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60005-2384
Country : US
Telephone Number : 847-618-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2024
Last Update Date : 12/30/2025

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Directions to “ KATHLEEN BRIDGET FREEMAN ” Practice Location

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