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Individual

MRS. DARLENE LINDSTROM FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
850 BROOK FOREST AVE UNIT F, SHOREWOOD, IL 60404-8515
(815) 725-4918
(815) 725-4955
Mailing address
850 BROOK FOREST AVE UNIT F, SHOREWOOD, IL 60404-8515
(815) 725-4918
(815) 725-4955

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209-002559
IL

Other

Enumeration date
09/21/2006
Last updated
06/19/2009
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