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NPI Code Detail

MEDICARE: MRS. SHAYNA FRIEDMAN APN

MEDICARE: MRS. SHAYNA FRIEDMAN APN
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
1363LF0000XFamily Nurse Practitioner209.011531IL

General Provider Information

NPI Number : 1154728178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHAYNA FRIEDMAN APN
Provider Business Mailing Address
First Line : 1630 W, CENTRAL RD
Second Line :
City : ARLINGTON HGTS
State : IL
Zip : 60005
Country : US
Telephone Number : 847-394-3553
Fax Number :
Provider Business Practice Location Address
First Line : 1630 W CENTRAL RD
Second Line :
City : ARLINGTON HTS
State : IL
Zip : 60005-2407
Country : US
Telephone Number : 847-394-3553
Fax Number : 847-394-3574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2014
Last Update Date : 11/20/2014

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Directions to “ MRS. SHAYNA FRIEDMAN APN” Practice Location

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