Sara Jane Fredrickson in Winfield - Surgery
Sara Jane Fredrickson - NPI 1922066380
Sara Jane Fredrickson is a Surgery in Winfield, Illinois. Sara Jane Fredrickson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Sara Jane Fredrickson is 1922066380. The last update date is 2018-01-03.
Sara Jane Fredrickson's current location address is 25 N Winfield Rd, Winfield, Illinois. You can contact this provider via phone number 6303077799 and fax number 6303072277. The mailing address for Sara Jane Fredrickson is 25 N Winfield Rd, Winfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sara Jane Fredrickson |
|---|---|
| Address | 25 N Winfield Rd, Winfield, Illinois |
| Phone Number | 6303077799 |
| Fax Number | 6303072277 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922066380 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2018-01-03 |
Provider Mailing Address Detail
| Address | 25 N Winfield Rd |
|---|---|
| City | Winfield |
| State | Illinois (IL) |
| Post Code | 601901295 |
| Phone Number | 6303077799 |
| Fax Number | 6303072277 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36076758 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4062703 | IL | AETNA | |
| 36076758 | IL | -- | |
| 206147220 | IL | MEDICARE (INDIVIDUAL PTAN) | |
| 2215516 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Sara Jane Fredrickson's 1922066380?
The Sara Jane Fredrickson's NPI (National Provider Identifier) Number is 1922066380. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Sara Jane Fredrickson?
The Sara Jane Fredrickson is situated at 25 N Winfield Rd, in the city of Winfield, state of IL, with the zip code 601901295.
What is the Sara Jane Fredrickson's area of specialization and corresponding taxonomy classification?
The Sara Jane Fredrickson's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1922066380 to Sara Jane Fredrickson?
The Sara Jane Fredrickson received its 1922066380 assignment from the Centers for Medicare & Medicaid Services on 2006-05-03.
When was the Sara Jane Fredrickson's information last updated?
The Sara Jane Fredrickson's information was last updated on 2018-01-03.
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