Jamie Lynn Frey is a Dermatology in Peoria, Illinois. Jamie Lynn Frey practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jamie Lynn Frey is 1639391006. The last update date is 2010-07-15.
Jamie Lynn Frey's current location address is 5401 N Knoxville Ave, Peoria, Illinois. You can contact this provider via phone number 3096912903 and fax number 3096912909. The mailing address for Jamie Lynn Frey is 5401 N Knoxville Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jamie Lynn Frey |
|---|---|
| Address | 5401 N Knoxville Ave, Peoria, Illinois |
| Phone Number | 3096912903 |
| Fax Number | 3096912909 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639391006 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2010-07-15 |
Provider Mailing Address Detail
| Address | 5401 N Knoxville Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616145098 |
| Phone Number | 3096912903 |
| Fax Number | 3096912909 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 36124992 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36124992 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jamie Lynn Frey by the Centers for Medicare & Medicaid Services?
The Jamie Lynn Frey has been assigned the NPI (National Provider Identifier) 1639391006 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jamie Lynn Frey located?
The Jamie Lynn Frey is located at 5401 N Knoxville Ave, Peoria, IL 616145098.
What is the area of specialization for Jamie Lynn Frey, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jamie Lynn Frey is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
When did Jamie Lynn Frey receive its 1639391006 assignment?
The Jamie Lynn Frey was assigned its 1639391006 on 2007-05-03, which is the date when this unique identifier was issued to the organization.
When was the Jamie Lynn Frey's information last updated?
The Jamie Lynn Frey's information was last updated on 2010-07-15.