Provider Demographics
NPI:1023443025
Name:FRIEDMAN, ROBERT KURLAND (LCSW)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:KURLAND
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 E 47TH ST
Mailing Address - Street 2:# 4W
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-4747
Mailing Address - Country:US
Mailing Address - Phone:773-538-0987
Mailing Address - Fax:
Practice Address - Street 1:1038 E 47TH ST
Practice Address - Street 2:# 4W
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-4747
Practice Address - Country:US
Practice Address - Phone:773-538-0987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0036601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical