Fredericks Chiropractic Center, Ltd.

NPI #1063673572 in Carol Stream, Illinois

Provider Information

NPI Number: 1063673572
Entity Type: Organization
Organization Name: Fredericks Chiropractic Center, Ltd.
Primary Specialty: Chiropractor
Enumeration Date: Jun 18, 2008
Last Updated: Jun 18, 2008

Practice Location

Address: 166 N GARY AVE
City: Carol Stream
State: Illinois
ZIP Code: 60188-2093
Phone: (630) 665-5656

Authorized Official

Name: DR. KEVIN A FREDERICKS, DC
Title: PRESIDENT
Phone: (630) 665-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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