MEDICARE: JULIA SAGE FRIEDLAND

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	1041C0700X	Clinical Social Worker
2	104100000X	Social Worker	150114525	IL

General Provider Information

NPI Number	:	1962227439
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA SAGE FRIEDLAND

Provider Business Mailing Address
First Line	:	330 HASTINGS AVE
Second Line	:
City	:	HIGHLAND PARK
State	:	IL
Zip	:	60035-5154
Country	:	US
Telephone Number	:	224-563-7181
Fax Number	:

Provider Business Practice Location Address
First Line	:	2433 N WESTERN AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-2028
Country	:	US
Telephone Number	:	773-231-7675
Fax Number	:

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

Provider Enumeration Date	:	11/20/2024
Last Update Date	:	06/03/2026

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Directions to “ JULIA SAGE FRIEDLAND ” Practice Location

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