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Dr. Mark E Fredrick, DC
Chiropractor in Gurnee, Illinois
NPI 1467478404

Mark E Fredrick is a Chiropractor based in Gurnee, IL. Mark E Fredrick practices in Gurnee, IL and has the professional credentials of DC. The NPI Number for Mark E Fredrick is 1467478404 and holds a License No. 038005092 (Illinois).

The current practice location address for Mark E Fredrick is 3930 West Washington Street, Gurnee, IL and can be reached out via phone at 847-662-1600 and via fax at 847-662-1612.

Location: 3930 West Washington Street, Gurnee, IL, 60031-5702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467478404
Provider Name
Mark E Fredrick
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3930 West Washington Street, Gurnee, IL, 60031-5702
Phone Number
847-662-1600
Fax Number
847-662-1612
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4915298 01 IL BCBS IL
institution
Provider Business Practice Location Address Details
Address
3930 West Washington Street
City
Gurnee
State
Illinois
Zip
60031-5702
Phone Number
847-662-1600
Fax Number
847-662-1612
person
Provider Business Mailing Address Details
Address
3930 West Washington Street
City
Gurnee
State
Illinois
Zip
60031-5702
Phone Number
847-662-1600
Fax Number
847-662-1612
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038005092 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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