Provider Demographics
NPI:1295966166
Name:FRIEDMAN, ALAN F
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:F
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N MICHIGAN AVE STE 1206
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3727
Mailing Address - Country:US
Mailing Address - Phone:312-368-4515
Mailing Address - Fax:312-541-0888
Practice Address - Street 1:30 N MICHIGAN AVE STE 1206
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3727
Practice Address - Country:US
Practice Address - Phone:312-368-4515
Practice Address - Fax:312-541-0888
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071003071103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist