Provider Demographics
| NPI: | 1225012081 |
|---|---|
| Name: | FRIEDMAN, HAROLD (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | HAROLD |
| Middle Name: | |
| Last Name: | FRIEDMAN |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 1035 CAMPUS DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | MUNDELEIN |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60060-3834 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 847-816-3007 |
| Mailing Address - Fax: | 847-680-9391 |
| Practice Address - Street 1: | 1035 CAMPUS DR |
| Practice Address - Street 2: | |
| Practice Address - City: | MUNDELEIN |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60060-3834 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 847-816-3007 |
| Practice Address - Fax: | 847-680-9391 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2005-12-05 |
| Last Update Date: | 2025-09-11 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| OH | 25.000043 | 2085N0700X |
| IN | 01060812A | 2085N0700X |
| WI | 34124 | 2085N0700X |
| IL | 2085N0700X, 2085R0202X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 2085N0700X | Allopathic & Osteopathic Physicians | Radiology | Neuroradiology |
| No | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| IL | K14419 | Medicare ID - Type Unspecified | TRI-CITIES OPEN MRI |
| IL | L82431 | Medicare ID - Type Unspecified | OPEN MRI @ CORPORATE WOOD |
| IL | K16976 | Medicare ID - Type Unspecified | BLOOMINGDALE OPEN MRI |
| IL | K27850 | Medicare ID - Type Unspecified | MERIDIAN-AREA 15 |
| IL | K03541 | Medicare ID - Type Unspecified | OPEN MRI OLYMPIA FIELDS |
| IL | K07036 | Medicare ID - Type Unspecified | PEORIA OPEN MRI |
| IL | K27857 | Medicare ID - Type Unspecified | MERIDIAN-AREA 16 |
| IL | K27864 | Medicare ID - Type Unspecified | MERIDIAN-AREA 99 |
| IL | K28682 | Medicare ID - Type Unspecified | RAND IMAGING |
| IL | D16789 | Medicare UPIN | |
| IL | K28068 | Medicare ID - Type Unspecified | NORTHSHORE PHYSICIAN GRP |
| IL | K05182 | Medicare ID - Type Unspecified | JOLIET OPEN MRI |
| IL | K06484 | Medicare ID - Type Unspecified | BUCKTOWN OPEN MRI |
| IL | P00251525 | Medicare ID - Type Unspecified | RR MED-PEORIA OPEN MRI |
| IL | P00116045 | Medicare ID - Type Unspecified | RR MEDICARE-JOLIET MRI |
| IL | K02639 | Medicare ID - Type Unspecified | S.SUBURBAN MRI ORLAND |
| IL | P00063616 | Medicare ID - Type Unspecified | RRMED-S.SUB ORLAND MRI |