Provider Demographics
NPI:1770848574
Name:FREEMAN, CAITLIN
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1739 N FRANCISCO AVE
Mailing Address - Street 2:APT 1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5117
Mailing Address - Country:US
Mailing Address - Phone:419-343-3374
Mailing Address - Fax:708-575-1725
Practice Address - Street 1:77 W WASHINGTON ST
Practice Address - Street 2:STE 1704
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3187
Practice Address - Country:US
Practice Address - Phone:419-343-3374
Practice Address - Fax:708-575-1725
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-08
Last Update Date:2018-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker