Individual
DR. FREDERIC L STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-2730
Mailing address
1900 W POLK ST, RM 1300 DEPARTMENT OF TRAUMA, CHICAGO, IL 60612-3723
(312) 864-2748
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-106561
IL
2086S0102X
Surgical Critical Care Physician
036-106561
IL
2086S0127X
Trauma Surgery Physician
036-106561
IL
Other
Enumeration date
03/29/2007
Last updated
04/30/2021
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