Individual
MR. CHRISTOPHER ROBERT FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2313 S MOUNT PROSPECT RD, DES PLAINES, IL 60018-1811
(847) 227-1174
(847) 759-1887
Mailing address
2313 S MOUNT PROSPECT RD, DES PLAINES, IL 60018-1811
(847) 227-1174
(847) 759-1887
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049.118780
IL
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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