Jennifer S Fredericks in Bartlett - Family Medicine
Jennifer S Fredericks - NPI 1093743163
Jennifer S Fredericks is a Family Medicine in Bartlett, Illinois. Jennifer S Fredericks practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jennifer S Fredericks is 1093743163. The last update date is 2013-04-04.
Jennifer S Fredericks's current location address is 820 S Il Route 59, Bartlett, Illinois. You can contact this provider via phone number 6304835930 and fax number 6304835939. The mailing address for Jennifer S Fredericks is 820 S Il Route 59, Bartlett, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer S Fredericks |
|---|---|
| Address | 820 S Il Route 59, Bartlett, Illinois |
| Phone Number | 6304835930 |
| Fax Number | 6304835939 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093743163 |
|---|---|
| Provider Enumeration Date | 2006-06-29 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | 820 S Il Route 59 |
|---|---|
| City | Bartlett |
| State | Illinois (IL) |
| Post Code | 601031694 |
| Phone Number | 6304835930 |
| Fax Number | 6304835939 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36106524 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 363149833601900 | IL | CDPG HFS PAYEE ID | |
| 222075 | IL | BLUE CROSS GROUP NUMBER | |
| 36106524 | ID | -- | |
| 36-3149833 | ID | TAX IDENTIFICATION NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Jennifer S Fredericks by the Centers for Medicare & Medicaid Services?
The Jennifer S Fredericks has been assigned the NPI (National Provider Identifier) 1093743163. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jennifer S Fredericks is located?
The Jennifer S Fredericks is situated at the following address: 820 S Il Route 59, Bartlett, IL, 601031694.
What is Jennifer S Fredericks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer S Fredericks is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date was the 1093743163 assigned to Jennifer S Fredericks?
The Jennifer S Fredericks was issued its 1093743163 on 2006-06-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jennifer S Fredericks most recently updated or refreshed?
The details pertaining to the Jennifer S Fredericks, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-04.