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Lindsay Rae Friedman

Surgery

Allopathic & Osteopathic Physicians

600 S Paulina St Ste 403, Chicago, IL 60612-3806

PECOS Enrollment

This provider is enrolled in PECOS as LINDSAY FRIEDMAN.

Based on the most recent information from CMS, provider Lindsay Rae Friedman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1487218103
Provider Type
Individual
Full Name
Friedman, Lindsay Rae
Credential
MD, MS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/29/2019
Last Updated
6/9/2021

Contact Information

Practice Location

600 S Paulina St Ste 403, Chicago, IL 60612-3806

(312) 942-7100

Unlisted Fax

Mailing Location

600 S Paulina St Ste 403, Chicago, IL 60612-3806

(312) 942-7100

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208600000X Primary	Description Surgery Allopathic & Osteopathic Physicians	License 125.077738 Illinois
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Lindsay Rae Friedman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

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Code

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