Provider Demographics
NPI:1497708556
Name:FREEDMAN, LEE S (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:S
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 CENTRAL
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035
Mailing Address - Country:US
Mailing Address - Phone:847-433-4409
Mailing Address - Fax:847-433-4495
Practice Address - Street 1:806 CENTRAL
Practice Address - Street 2:SUITE 103
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035
Practice Address - Country:US
Practice Address - Phone:847-433-4409
Practice Address - Fax:847-433-4495
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036082494207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1538112818OtherCORPORATE NPI
IL743061573OtherPACIFICARE PPO
IL3119081OtherAETNA/ US HEALTHCARE HMO
IL743061573OtherMULTIPLAN
IL0000014883OtherOFFICEMED SUBMITTER ID
IL010066196OtherRAILROAD MEDICARE - PALMETTO
IL4094389OtherAETNA / US HEALTHCARE
IL4094389OtherAETNA / US HEALTHCARE
IL3119081OtherAETNA/ US HEALTHCARE HMO
ILBF1060348OtherDEA