Mark E Fredrick (NPI# 1467478404, PAC ID# 0840484085) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1467478404 |
| PAC ID by PECOS | 0840484085 |
| Professional Enrollment ID | I20101101001161 |
| Full Name | Mark E Fredrick |
| Address |
3930 Washington St B Gurnee IL 60031-5702 |
| Phone Number | 8476621600 |
| Gender | M |
| Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1983 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3930 Washington St B, Gurnee, IL 60031-5702 | 8476621600 |
| Street Address |
3930 WASHINGTON ST B |
| City | GURNEE |
| State | IL |
| Zip | 60031-5702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Caplan | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rebecca E Jacobson | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Lauren E Rosen | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Esther Y Liu | Family Medicine | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Erik B Pauls | Physician Assistant | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Smitha K. John | Nurse Practitioner | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Brenda Y Kim | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Rajiv K Udani | Hospitalist | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Nancy A Nora | Nephrology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Therese A Hughes | Obstetrics/gynecology | Northshore University Healthsystem Faculty Practice Associates | 7900 Rollins Rd, Gurnee, IL 60031-1512 |
| Find all physicians in zip 60031 | |||
| City | GURNEE |
| Zip Code | 60031 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GURNEE + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.