MEDICARE: JOSHUA FREEMAN DO

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	207R00000X	Internal Medicine Physician	036180132	IL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	208M00000X	Hospitalist Physician	036180132	IL

General Provider Information

NPI Number	:	1417648866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA FREEMAN DO

Provider Business Mailing Address
First Line	:	4901 SEARLE PKWY STE 150
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60077-5320
Country	:	US
Telephone Number	:	847-982-3363
Fax Number	:	847-733-5315

Provider Business Practice Location Address
First Line	:	5145 N CALIFORNIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3687
Country	:	US
Telephone Number	:	773-878-8200
Fax Number	:

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

Provider Enumeration Date	:	05/17/2023
Last Update Date	:	05/15/2026

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