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Individual

DR. FREDERICK R SPENCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
608 HILLGROVE AVE, WESTERN SPRINGS, IL 60558-1476
(708) 246-4591
(708) 246-2086
Mailing address
1432 CALCUTTA LN, NAPERVILLE, IL 60563-2215
(708) 246-4591
(708) 246-2086

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016-003528
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016003528
IL
Enumeration date
01/08/2007
Last updated
10/13/2008
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