Individual
JOSEPH JACK FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
17 W GOLF RD, DES PLAINES, IL 60016-2410
(847) 296-5145
Mailing address
5757 N SHERIDAN RD APT 4D, CHICAGO, IL 60660-8701
(773) 970-2425
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298597
IL
Other
Enumeration date
05/19/2020
Last updated
05/19/2020
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