Mark E. Fredrick, DC

Chiropractor · Gurnee, IL

Individual Active NPI

NPI number 1467478404

Practice location

3930 West Washington Street
Ste B
Gurnee, IL 60031-5702
Phone
(847) 662-1600
Fax
(847) 662-1612

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NPI record

NPI
1467478404
Entity type
Individual (Type 1)
Enumeration date
July 14, 2006
Last updated
October 6, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 038005092 IL

About Dr. Fredrick

Mark E. Fredrick, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 3930 West Washington Street, Ste B, Gurnee, IL 60031-5702. The NPI number 1467478404 was assigned on July 14, 2006 and the record was last updated on October 6, 2010.

Dr. Fredrick lists a license in the registry: #038005092 (IL) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark E. Fredrick, DC?

The NPI number is 1467478404.

What is the phone number of Dr. Fredrick?

The phone number listed for the practice location is (847) 662-1600.

Where is Dr. Fredrick located?

3930 West Washington Street, Ste B, Gurnee, IL 60031-5702.

What is the taxonomy code for Dr. Fredrick?

The primary taxonomy code is 111N00000X – Chiropractor.

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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