Organization
C A FREDERICK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMIN A FREDERICKFARMER MHS (PRESIDENT-SPEECH LANGUAGE PATHOLOGI)
(773) 330-4717
Entity
Organization
Contact information
Practice address
40 N. MASON AVE, CHICAGO, IL 60644
(773) 330-4717
Mailing address
40 N. MASON AVE, CHICAGO, IL 60644
(773) 330-4717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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