Individual
JOHN KARL FREDERIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
840 S. WOOD ST., 130 CSN M/C 847, CHICAGO, IL 60612-4325
(312) 996-7312
(312) 996-7586
Mailing address
840 S. WOOD ST., 130 CSN M/C 847, CHICAGO, IL 60612-4325
(312) 996-7312
(312) 996-7586
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.158028
IL
Other
Enumeration date
03/24/2009
Last updated
06/11/2024
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