Active NPI 1932161056 Individual Practitioner Male Practitioner

Dr. Michael Friedman , MD

Otolaryngology • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Friedman, MD is a certified Otolaryngology practicing in Chicago, IL. With approximately 54 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1972, Dr. Friedman delivers high-quality medical care to the local community at 30 N MICHIGAN AVE.

Dr. Friedman is affiliated with Head And Neck Cosmetic Surgery Associates Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include diagnostic examination of nasal passages using an endoscope, biopsy or removal of nasal polyp or tissue using an endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30 N Michigan Ave
#1107

Chicago, IL 606023402

Telephone 3122363642

Fax 3122365162

Associated Practice Facility / Clinic

🏢 Maharukh E Kravich Dds Ltd Facility NPI 1457307910

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Otolaryngology in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs +33.6 yrs vs City Avg

City Avg: 20.4 Yrs

State Avg: 27.6 Yrs

Regional Practice Density

160 Specialists

Practicing in Chicago, IL (502 Statewide)

Telehealth Adoption Rate

20.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Friedman (54 Years) 54 Yrs

Chicago Specialty Average (20.4 Years) 20.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
31231 Diagnostic examination of nasal passages using an endoscope	510	427	$446.18	$190.28
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	502	247	$1791.04	$395.56
99213 Established patient office or other outpatient visit, typically 15 minutes	439	318	$150.00	$92.89
J3490 Unclassified drugs	404	69	$2900.00	$1641.71
70486 CT scan of face	347	333	$571.94	$90.89
30117 Removal or destruction of growth in nose	302	190	$1800.00	$497.92
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	213	205	$295.89	$50.72
30801 Destruction of soft tissue of nasal passages	199	187	$650.00	$117.65
30469 Repair of collapsed nasal valve	195	194	$6300.00	$1411.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	170	170	$295.00	$168.20
31242 Destruction of nasal nerve by heat using an endoscope	159	158	$4947.17	$2505.58
43197 Diagnostic examination of esophagus using an endoscope	149	149	$550.00	$187.69
91034 Monitoring and recording of gastroesophageal reflux through nose including analysis and interpretation	148	148	$600.00	$188.22
31295 Dilation of nasal sinus using an endoscope	135	134	$7814.81	$1875.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$250.00	$114.80
31575 Diagnostic exam of voice box using a flexible endoscope	102	88	$425.00	$128.98
31296 Dilation of frontal nasal sinus using an endoscope	41	41	$5731.71	$1595.40
95971 Electronic analysis and programming of implanted simple spinal cord or peripheral neurostimulator generator system during or after surgery, first hour	37	22	$200.00	$50.10
69210 Removal of impacted ear wax	36	16	$162.92	$45.42
31298 Dilation of nasal sinus using an endoscope	32	31	$12187.50	$3964.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$225.00	$132.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	26	$110.00	$58.23
31297 Dilation of sphenoid nasal sinus using an endoscope	24	24	$6875.00	$1740.71
31238 Control of bleeding of nose using an endoscope	18	15	$1111.11	$289.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	549	200	$1780.33	$389.51
31231 Diagnostic examination of nasal passages using an endoscope	530	391	$425.00	$198.93
J3490 Unclassified drugs	409	80	$2900.00	$1551.74
30117 Removal or destruction of growth in nose	366	173	$1800.00	$535.97
99213 Established patient office or other outpatient visit, typically 15 minutes	363	284	$150.00	$93.08
70486 CT scan of face	277	262	$573.77	$94.38
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	186	174	$292.34	$50.31
30801 Destruction of soft tissue of nasal passages	175	157	$650.00	$123.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	148	148	$250.00	$118.72
31575 Diagnostic exam of voice box using a flexible endoscope	138	112	$425.00	$136.60
30469 Repair of collapsed nasal valve	133	126	$6300.00	$2178.87
43197 Diagnostic examination of esophagus using an endoscope	123	123	$550.00	$201.20
91034 Monitoring and recording of gastroesophageal reflux through nose including analysis and interpretation	123	123	$600.00	$200.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	119	119	$295.00	$174.09
95819 Measurement of brain wave activity (eeg), awake and asleep	111	58	$1194.59	$444.95
31295 Dilation of nasal sinus using an endoscope	111	107	$8693.69	$2151.12
95971 Electronic analysis and programming of implanted simple spinal cord or peripheral neurostimulator generator system during or after surgery, first hour	53	25	$200.00	$50.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$225.00	$130.27
31296 Dilation of frontal nasal sinus using an endoscope	42	41	$6666.67	$1906.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$110.00	$59.16
31298 Dilation of nasal sinus using an endoscope	36	34	$11458.33	$4183.26
31238 Control of bleeding of nose using an endoscope	23	18	$1043.48	$262.90
31297 Dilation of sphenoid nasal sinus using an endoscope	17	17	$6764.71	$1660.80
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	17	17	$535.00	$51.97
64582 Insertion of hypoglossal nerve neurostimulator electrode and generator and breathing sensor electrode	15	15	$3500.00	$957.57
30140 Removal of nasal air passage under lining tissue	13	13	$1300.00	$239.23
95800 Sleep study including heart rate, breathing, and sleep time	13	13	$700.00	$131.78
92567 Eardrum testing using ear probe	12	11	$50.00	$10.71
30468 Repair of collapsed nostril using implant in side of nose	12	12	$6500.00	$2457.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
31231 Diagnostic examination of nasal passages using an endoscope	437	324	$425.00	$202.93
99213 Established patient office or other outpatient visit, typically 15 minutes	325	243	$150.00	$95.82
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	257	119	$1771.98	$408.51
70486 CT scan of face	224	214	$565.23	$95.82
31575 Diagnostic exam of voice box using a flexible endoscope	198	148	$425.00	$139.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$250.00	$119.99
30117 Removal or destruction of growth in nose	116	57	$1758.62	$554.39
43197 Diagnostic examination of esophagus using an endoscope	105	105	$550.00	$209.73
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	99	93	$288.38	$51.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	78	78	$295.00	$178.99
30801 Destruction of soft tissue of nasal passages	77	61	$650.00	$162.59
31295 Dilation of nasal sinus using an endoscope	72	72	$8194.44	$2125.84
91034 Monitoring and recording of gastroesophageal reflux through nose including analysis and interpretation	60	60	$600.00	$208.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	40	$225.00	$133.88
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	46	46	$975.00	$507.79
30468 Repair of collapsed nostril using implant in side of nose	38	38	$6500.00	$2657.64
31238 Control of bleeding of nose using an endoscope	31	20	$1000.00	$284.66
69210 Removal of impacted ear wax	30	16	$170.00	$37.27
31298 Dilation of nasal sinus using an endoscope	27	27	$11944.44	$4411.73
31296 Dilation of frontal nasal sinus using an endoscope	26	26	$7115.38	$1973.54
30140 Removal of nasal air passage under lining tissue	25	25	$1300.00	$228.41
95819 Measurement of brain wave activity (eeg), awake and asleep	24	14	$1200.00	$475.58
31297 Dilation of sphenoid nasal sinus using an endoscope	16	15	$5937.50	$1781.06
42975 Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope	13	13	$535.00	$61.62
30520 Reshaping of nasal cartilage	12	12	$2500.00	$373.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,400	12	$2.10	$0.10
31231 Diagnostic examination of nasal passages using an endoscope	508	348	$425.00	$210.47
99213 Established patient office or other outpatient visit, typically 15 minutes	424	308	$150.00	$97.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	252	252	$250.00	$119.04
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	250	103	$1764.00	$414.26
70486 CT scan of face	205	198	$579.28	$102.27
31575 Diagnostic exam of voice box using a flexible endoscope	201	150	$425.00	$135.77
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	103	101	$297.09	$95.61
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	58	58	$975.00	$541.14
31295 Dilation of nasal sinus using an endoscope	57	56	$8333.33	$2370.86
43197 Diagnostic examination of esophagus using an endoscope	56	56	$550.00	$216.90
30468 Repair of collapsed nostril using implant in side of nose	49	49	$6520.41	$2985.91
30140 Removal of nasal air passage under lining tissue	49	48	$1310.20	$234.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	38	$225.00	$136.86
31238 Control of bleeding of nose using an endoscope	36	23	$1027.78	$280.13
69210 Removal of impacted ear wax	34	24	$165.00	$34.77
30801 Destruction of soft tissue of nasal passages	34	17	$650.00	$245.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$295.00	$176.39
31296 Dilation of frontal nasal sinus using an endoscope	19	19	$7631.58	$2406.82
31298 Dilation of nasal sinus using an endoscope	19	18	$11447.37	$4848.43
31297 Dilation of sphenoid nasal sinus using an endoscope	15	15	$6666.67	$1991.62
70491 CT scan of neck with contrast	12	11	$798.00	$136.17
10021 Fine needle aspiration biopsy, first growth	11	11	$300.00	$53.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$110.00	$60.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	385	276	$150.00	$78.77
31231 Diagnostic examination of nasal passages using an endoscope	368	279	$425.00	$206.08
31575 Diagnostic exam of voice box using a flexible endoscope	215	168	$425.00	$131.59
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	175	74	$1666.29	$393.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$250.00	$113.31
70486 CT scan of face	136	131	$567.18	$98.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	89	75	$225.00	$115.40
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	68	67	$300.00	$135.06
31295 Dilation of nasal sinus using an endoscope	61	61	$8360.66	$2522.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$295.00	$175.27
31238 Control of bleeding of nose using an endoscope	53	38	$1000.00	$270.34
30140 Removal of nasal air passage under lining tissue	45	45	$1300.00	$228.61
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	38	38	$975.00	$512.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	33	$110.00	$48.08
43197 Diagnostic examination of esophagus using an endoscope	30	30	$550.00	$208.06
69210 Removal of impacted ear wax	30	24	$164.00	$37.04
31296 Dilation of frontal nasal sinus using an endoscope	25	24	$6600.00	$2185.58
31297 Dilation of sphenoid nasal sinus using an endoscope	18	18	$5555.56	$1933.46
31298 Dilation of nasal sinus using an endoscope	17	17	$11823.53	$4846.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,200	21	$2.10	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	455	309	$150.00	$78.26
31575 Diagnostic exam of voice box using a flexible endoscope	362	259	$425.00	$125.23
31231 Diagnostic examination of nasal passages using an endoscope	359	250	$425.00	$213.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	246	246	$250.00	$116.01
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	200	78	$1683.00	$394.21
70486 CT scan of face	200	186	$564.54	$96.26
95827 Measurement and recording of brain wave (EEG) activity, overnight	106	102	$2200.00	$635.03
69210 Removal of impacted ear wax	61	40	$160.57	$37.39
31238 Control of bleeding of nose using an endoscope	57	38	$1000.00	$275.23
31295 Dilation of nasal sinus using an endoscope	54	54	$8518.52	$1913.74
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	47	43	$300.00	$134.36
30801 Destruction of soft tissue of nasal passages	35	13	$650.00	$237.65
30140 Removal of nasal air passage under lining tissue	33	33	$1300.00	$221.79
31296 Dilation of frontal nasal sinus using an endoscope	29	29	$7068.97	$2277.10
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	27	27	$975.00	$508.80
43197 Diagnostic examination of esophagus using an endoscope	26	26	$550.00	$200.20
70491 CT scan of neck with contrast	19	18	$773.00	$127.74
95810 Sleep monitoring of patient (6 years or older) in sleep lab	18	18	$1800.00	$645.97
10021 Fine needle aspiration biopsy, first growth	17	14	$300.00	$65.70
31298 Dilation of nasal sinus using an endoscope	15	15	$9600.00	$5148.80
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	14	14	$70.00	$32.85
31297 Dilation of sphenoid nasal sinus using an endoscope	14	14	$5714.29	$1429.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,600	33	$2.10	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	565	360	$150.00	$73.36
31575 Diagnostic exam of voice box using a flexible endoscope	410	292	$425.00	$115.30
31231 Diagnostic examination of nasal passages using an endoscope	322	214	$425.00	$211.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	218	218	$250.00	$110.74
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	168	59	$1783.93	$391.37
70486 CT scan of face	158	152	$567.28	$93.98
69210 Removal of impacted ear wax	49	38	$163.06	$34.13
31295 Dilation of nasal sinus using an endoscope	48	46	$8125.00	$1845.92
70491 CT scan of neck with contrast	37	33	$768.32	$123.81
95827 Measurement and recording of brain wave (EEG) activity, overnight	34	34	$2200.00	$636.30
31238 Control of bleeding of nose using an endoscope	32	23	$1000.00	$272.54
30140 Removal of nasal air passage under lining tissue	29	29	$1300.00	$216.20
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	27	27	$2000.00	$643.33
31296 Dilation of frontal nasal sinus using an endoscope	26	25	$6730.77	$2064.78
95810 Sleep monitoring of patient (6 years or older) in sleep lab	23	23	$1800.00	$609.52
30801 Destruction of soft tissue of nasal passages	22	12	$650.00	$231.45
31298 Dilation of nasal sinus using an endoscope	19	18	$8526.32	$4743.15
G0399 Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	15	14	$300.00	$128.83
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	14	14	$70.00	$39.20
92567 Eardrum testing using ear probe	12	12	$50.00	$12.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,900	25	$2.10	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	582	346	$149.87	$72.64
31575 Diagnostic exam of voice box using a flexible endoscope	408	290	$424.25	$114.91
31231 Diagnostic examination of nasal passages using an endoscope	293	197	$425.00	$207.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	210	210	$250.00	$109.21
31237 Biopsy or removal of nasal polyp or tissue using an endoscope	198	68	$1654.55	$366.41
70486 CT scan of face	155	137	$553.24	$90.20
31295 Dilation of nasal sinus using an endoscope	52	51	$13269.23	$1775.11
31296 Dilation of frontal nasal sinus using an endoscope	41	40	$12439.02	$2401.05
31238 Control of bleeding of nose using an endoscope	34	18	$1000.00	$269.70
30801 Destruction of soft tissue of nasal passages	34	14	$650.00	$229.14
69210 Removal of impacted ear wax	32	24	$148.91	$33.64
30140 Removal of nasal air passage under lining tissue	25	25	$1274.00	$316.63
31297 Dilation of sphenoid nasal sinus using an endoscope	22	22	$12272.73	$1365.56
70491 CT scan of neck with contrast	20	19	$773.00	$146.17
95810 Sleep monitoring of patient (6 years or older) in sleep lab	19	19	$1800.00	$589.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$110.00	$43.68
91035 Monitoring and recording of esophageal function through a capsule attached to the esophagus wall	16	15	$975.00	$473.62
10021 Fine needle aspiration biopsy, first growth	14	12	$300.00	$124.76
G0268 Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing	14	14	$70.00	$40.81
95811 Sleep study in sleep lab with continuous airway pressure (6 years or older)	13	13	$2000.00	$607.20
92567 Eardrum testing using ear probe	13	13	$50.00	$14.39
43197 Diagnostic examination of esophagus using an endoscope	12	12	$550.00	$192.70
92557 Comprehensive hearing and speech recognition test	11	11	$109.77	$37.59

Medical Specialties & State Licenses

Otolaryngology Primary Specialty

NUCC Taxonomy Code: 207Y00000X

State License IL 036047479

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036047479 (IL)

Hospital & Practice Group Affiliations

Head And Neck Cosmetic Surgery Associates Llc

3000 N Halsted St, Chicago, IL 606578480

Phone: 7732965500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Ayesha Siddiqi , MD

Allergy & Immunology

NPI 1003878299

Doctor of Medicine (M.D.)

Dr. T Venkatesan , MD

Otolaryngology

NPI 1295797470

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 02, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 02, 2015

Registered at 30 N MICHIGAN AVE, #1107, CHICAGO, IL 606023402 (Tel: 3122363642)

📍

Updated Business Mailing Address September 02, 2015

Registered at PO BOX 809094, CHICAGO, IL 606809094 (Tel: 8476760091)

👤

Provider Name / Credentials Updated September 02, 2015

Recorded as MICHAEL FRIEDMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2015

Otolaryngology (License #036047479 in IL)

🟢

Initial NPI Registration & Enumeration April 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932161056

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 04, 2006

Last Update: September 02, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 809094

Chicago, IL 606809094

Phone: 8476760091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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