Wendy A Frederick in Libertyville - Physician Assistant
Wendy A Frederick - NPI 1811198690
Wendy A Frederick is a Physician Assistant in Libertyville, Illinois. Wendy A Frederick practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Wendy A Frederick is 1811198690. The last update date is 2018-11-30.
Wendy A Frederick's current location address is 904 S Milwaukee Ave Ste B, Libertyville, Illinois. You can contact this provider via phone number 8479907220 and fax number 8479842597. The mailing address for Wendy A Frederick is 904 S Milwaukee Ave Ste B, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy A Frederick |
|---|---|
| Address | 904 S Milwaukee Ave Ste B, Libertyville, Illinois |
| Phone Number | 8479907220 |
| Fax Number | 8479842597 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1811198690 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2018-11-30 |
Provider Mailing Address Detail
| Address | 904 S Milwaukee Ave Ste B |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600483215 |
| Phone Number | 8479907220 |
| Fax Number | 8479842597 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 85002199 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Wendy A Frederick by the Centers for Medicare & Medicaid Services?
The Wendy A Frederick has been assigned the NPI (National Provider Identifier) 1811198690. 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 address where Wendy A Frederick is physically located?
The Wendy A Frederick is situated at the following address: 904 S Milwaukee Ave Ste B, Libertyville, IL 600483215.
What is Wendy A Frederick's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Wendy A Frederick is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811198690 to Wendy A Frederick?
The Wendy A Frederick received its 1811198690 assignment from the Centers for Medicare & Medicaid Services on 2007-05-30.
When was the Wendy A Frederick's information last updated?
The Wendy A Frederick's information was last updated on 2018-11-30.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH