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Individual

CHRISTIN PAGE FRIEDERICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
111 W JACKSON BLVD STE 1700, CHICAGO, IL 60604-3597
(888) 731-8994
(888) 732-8119
Mailing address
111 W JACKSON BLVD STE 1700, CHICAGO, IL 60604-3597

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209012321
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209012321
STATE LICENSE NUMBER
IL
01
309014755
CONTROLLED SUBSTANCE LICENSE NUMBER
IL
Enumeration date
07/06/2015
Last updated
06/26/2024
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