Kevin A Fredericks (NPI# 1104906213, PAC ID# 8426100579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1104906213 |
| PAC ID by PECOS | 8426100579 |
| Professional Enrollment ID | I20090721000202 |
| Full Name | Kevin A Fredericks |
| Address |
166 N Gary Ave Carol Stream IL 60188-2093 |
| Gender | M |
| Medical School | NATIONAL COLLEGE OF CHIROPRACTIC |
| Graduation Year | 1986 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 166 N Gary Ave, Carol Stream, IL 60188-2093 |
| Street Address |
166 N GARY AVE |
| City | CAROL STREAM |
| State | IL |
| Zip | 60188-2093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin M Liebich | Psychologist, Clinical | Suite, Suite 212, Carol Stream, IL 60188 | |
| Pauline K Wiener | Psychiatry | 27 W170 Saint Charles Rd, Carol Stream, IL 60188-1935 | |
| Marc L Wiener | Internal Medicine | 27 W170 Saint Charles Rd, Carol Stream, IL 60188-1935 | |
| Lee A Everett | Physical Therapy | 135 E Saint Charles Rd G, Carol Stream, IL 60188-2078 | |
| Frank C Chao | Family Medicine | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Christopher T Boniquit | Urology | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Sunny K Sharma | Internal Medicine | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Roshni Patel | Qualified Audiologist | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Keith M Lertsburapa | Otolaryngology | Adventist Health Partners Inc | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Angela Sylvester | Family Medicine | Bonaventure Medical Foundation LLC | 630 E N Ave, Carol Stream, IL 60188-2127 |
| Find all physicians in zip 60188 | |||
| City | CAROL STREAM |
| Zip Code | 60188 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CAROL STREAM + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kevin A Fredericks.
| 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.