DR. Frederic Mark Ettner, M.D.

NPI #1891859468 in Lincolnwood, Illinois

Provider Information

NPI Number
1891859468
Entity Type
Individual
Name
DR. Frederic Mark Ettner, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Dec 20, 2006
Last Updated
Nov 15, 2016

Practice Location

Address
7126 N LINCOLN AVE
ZIP Code
60712-2234
Phone
(847) 733-2229

Specialties & Taxonomy Codes

Specialty
Family Medicine

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