Individual provider · Type 1 NPI

Kevin A. Fredericks, DC

Chiropractor · Carol Stream, IL

NPI number 1104906213 Active

Practice location

166 N Gary Ave
Carol Stream, IL 60188-2093

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2 other providers at this address

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About NPI 1104906213

Kevin A. Fredericks, DC's National Provider Identifier is 1104906213, issued on Oct 16, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Carol Stream, IL. The record was last updated on Jul 8, 2007.