Individual
DR. JACOB MICHAEL FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
251 E HURON ST, L-700A, CHICAGO, IL 60611-2908
(630) 864-7149
Mailing address
1221 HERCULES LN, NAPERVILLE, IL 60540-7909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.307235
IL
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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