Provider Demographics
NPI:1649865486
Name:FRIEDMAN, EMILY ROSE (MSN, APRN, WHNP-BC)
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:ROSE
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MSN, APRN, WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:259 E ERIE ST STE 2450
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3926
Mailing Address - Country:US
Mailing Address - Phone:312-694-9676
Mailing Address - Fax:312-472-6580
Practice Address - Street 1:259 E ERIE ST STE 2450
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3926
Practice Address - Country:US
Practice Address - Phone:312-694-9676
Practice Address - Fax:312-472-6580
Is Sole Proprietor?:No
Enumeration Date:2021-03-03
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.487454163W00000X
IL209.022905363LW0102X
IL209022905363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health