Provider Demographics
NPI:1376812610
Name:FREEDMAN, NECHAMA (PSYD)
Entity Type:Individual
Prefix:
First Name:NECHAMA
Middle Name:
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:NECHAMA
Other - Middle Name:
Other - Last Name:POLSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2900 W SHERWIN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-1210
Mailing Address - Country:US
Mailing Address - Phone:847-350-1190
Mailing Address - Fax:855-932-2011
Practice Address - Street 1:7366 N LINCOLN AVE STE 310
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1740
Practice Address - Country:US
Practice Address - Phone:847-350-1190
Practice Address - Fax:855-932-2011
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-15
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071009122103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical