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:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH25.0000432085N0700X
IN01060812A2085N0700X
WI341242085N0700X
IL2085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Not Answered2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILK14419Medicare ID - Type UnspecifiedTRI-CITIES OPEN MRI
ILL82431Medicare ID - Type UnspecifiedOPEN MRI @ CORPORATE WOOD
ILK16976Medicare ID - Type UnspecifiedBLOOMINGDALE OPEN MRI
ILK27850Medicare ID - Type UnspecifiedMERIDIAN-AREA 15
ILK03541Medicare ID - Type UnspecifiedOPEN MRI OLYMPIA FIELDS
ILK07036Medicare ID - Type UnspecifiedPEORIA OPEN MRI
ILK27857Medicare ID - Type UnspecifiedMERIDIAN-AREA 16
ILK27864Medicare ID - Type UnspecifiedMERIDIAN-AREA 99
ILK28682Medicare ID - Type UnspecifiedRAND IMAGING
ILD16789Medicare UPIN
ILK28068Medicare ID - Type UnspecifiedNORTHSHORE PHYSICIAN GRP
ILK05182Medicare ID - Type UnspecifiedJOLIET OPEN MRI
ILK06484Medicare ID - Type UnspecifiedBUCKTOWN OPEN MRI
ILP00251525Medicare ID - Type UnspecifiedRR MED-PEORIA OPEN MRI
ILP00116045Medicare ID - Type UnspecifiedRR MEDICARE-JOLIET MRI
ILK02639Medicare ID - Type UnspecifiedS.SUBURBAN MRI ORLAND
ILP00063616Medicare ID - Type UnspecifiedRRMED-S.SUB ORLAND MRI