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NPI Code Detail

MEDICARE: MS. JOSEPHINE LEIGH FRIEDMAN MS

MEDICARE: MS. JOSEPHINE LEIGH FRIEDMAN MS
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1154874493
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOSEPHINE LEIGH FRIEDMAN MS
Provider Business Mailing Address
First Line : 854 W ARMITAGE AVE APT 2F
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5224
Country : US
Telephone Number : 847-271-5282
Fax Number :
Provider Business Practice Location Address
First Line : 2555 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-1768
Country : US
Telephone Number : 312-650-5522
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2016
Last Update Date : 08/03/2016

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Directions to “ MS. JOSEPHINE LEIGH FRIEDMAN MS” Practice Location

Language Start Address Practice Location
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