Abby Nicole Fredrickson, MD

Psychiatry Physician · Maywood, IL

Individual Active NPI

NPI number 1376063370

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000

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NPI record

NPI
1376063370
Entity type
Individual (Type 1)
Enumeration date
June 21, 2017
Last updated
May 27, 2025
Certified
May 27, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychiatry Physician Primary 2084P0800X 036165488 IL
Psychiatry Physician 2084P0800X 69908 MN
Psychiatry Physician 2084P0800X MD61478865 WA

Mailing address

400 E 3rd St
Duluth, MN 55805-1951
Phone
(218) 786-8364

Other practice locations (1)

  • 502 E 2nd St, Duluth, MN 55805-1913 · (218) 786-8364

About Dr. Fredrickson

Abby Nicole Fredrickson, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychiatry Physician (code 2084P0800X). The practice location is 2160 S 1st Ave, Maywood, IL 60153-3328. The NPI number 1376063370 was assigned on June 21, 2017 and the record was last updated on May 27, 2025.

Dr. Fredrickson lists 3 licenses in the registry: #036165488 (IL) for Psychiatry Physician; #69908 (MN) for Psychiatry Physician; #MD61478865 (WA) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Abby Nicole Fredrickson, MD?

The NPI number is 1376063370.

What is the phone number of Dr. Fredrickson?

The phone number listed for the practice location is (708) 216-9000.

Where is Dr. Fredrickson located?

2160 S 1st Ave, Maywood, IL 60153-3328.

What is the taxonomy code for Dr. Fredrickson?

The primary taxonomy code is 2084P0800X – Psychiatry Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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