Individual
FREDERICK MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 W IRVING PARK RD, CHICAGO, IL 60613-3011
(773) 659-9207
Mailing address
5455 N SHERIDAN RD APT 2306, CHICAGO, IL 60640-1936
(312) 771-3872
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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