Individual
DR. KEVIN A FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
166 N GARY AVE, CAROL STREAM, IL 60188-2093
(630) 665-5656
Mailing address
166 N GARY AVE, CAROL STREAM, IL 60188-2093
(630) 665-5656
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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