Individual provider · Type 1 NPI

Linda Louise Frederick, PA-C

Surgical Physician Assistant · Maywood, IL

NPI number 1427358530 Active

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Call (608) 334-1252 Map

Mailing address

675 W North Ave Ste 201
Melrose Park, IL 60160-1665

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085.004552 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1427358530

Linda Louise Frederick, PA-C's National Provider Identifier is 1427358530, issued on Oct 25, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Maywood, IL. The record was last updated on Feb 3, 2022.