Individual
DR. FREDERICK G. BEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 S WOOD ST, DEPARTMENT OF PATHOLOGY, MC847, CHICAGO, IL 60612-4325
(312) 996-3150
(312) 413-0156
Mailing address
840 S WOOD ST, DEPARTMENT OF PATHOLOGY, MC847, CHICAGO, IL 60612-4325
(312) 996-3150
(312) 413-0156
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
16605
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-116729
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3808979
—
TN
Enumeration date
05/23/2005
Last updated
08/22/2019
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