Provider Demographics
NPI:1467508846
Name:FREEDBERG, HOWARD I (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:I
Last Name:FREEDBERG
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 1:1110 W SCHICK RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-3007
Mailing Address - Country:US
Mailing Address - Phone:630-233-7029
Mailing Address - Fax:630-372-6230
Practice Address - Street 1:1110 W SCHICK RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-3007
Practice Address - Country:US
Practice Address - Phone:630-372-1100
Practice Address - Fax:630-372-6230
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036064932207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036064932Medicaid
ILC43999Medicare UPIN
IL212204Medicare PIN
C43999Medicare UPIN
IL212203Medicare PIN
K21135Medicare ID - Type Unspecified