Healthcare Provider Details

I. General information

NPI: 1548674567
Provider Name (Legal Business Name): ELIZABETH R FRIEDMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 DELNOR DR STE 204
GENEVA IL
60134-4226
US

IV. Provider business mailing address

351 DELNOR DR STE 204
GENEVA IL
60134-4226
US

V. Phone/Fax

Practice location:
  • Phone: 630-653-4240
  • Fax: 630-938-9190
Mailing address:
  • Phone: 630-653-4240
  • Fax: 630-938-9190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number4301105557
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036146130
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036146130
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: