MEDICARE: DR. JOHN ARTHUR FRIEDMAN PH.D.

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
1	103TC0700X	Clinical Psychologist	071003076	IL
2	103T00000X	Psychologist	071003076	IL

General Provider Information

NPI Number	:	1053321836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ARTHUR FRIEDMAN PH.D.

Provider Business Mailing Address
First Line	:	30 N MICHIGAN AVE
Second Line	:	SUITE 1828
City	:	CHICAGO
State	:	IL
Zip	:	60602-3402
Country	:	US
Telephone Number	:	312-750-9064
Fax Number	:	312-750-9147

Provider Business Practice Location Address
First Line	:	30 N MICHIGAN AVE
Second Line	:	SUITE 1828
City	:	CHICAGO
State	:	IL
Zip	:	60602-3402
Country	:	US
Telephone Number	:	312-750-9064
Fax Number	:	312-750-9147

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	07/12/2010

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Directions to “ DR. JOHN ARTHUR FRIEDMAN PH.D.” Practice Location

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