Individual provider · Type 1 NPI
Mark E. Fredrick, DC
Chiropractor · Gurnee, IL
NPI number
1467478404
Active
Practice location
3930 West Washington Street, Ste B
Gurnee, IL 60031-5702
Fax (847) 662-1612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038005092 (IL) |
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.
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About NPI 1467478404
Mark E. Fredrick, DC's National Provider Identifier is 1467478404, issued on Jul 14, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Gurnee, IL. The record was last updated on Oct 6, 2010.