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Search › Illinois › 1041C0700X

Stacey Fredericks

NPI 1023360989 · on the registry since 2012

Practice

Address
4700 W 95th St Ste 205
Oak Lawn, IL 60453
Phone
(708) 684-7999
Organisation at this address
Zorub Clinic Ltd
Joi A Butler Md Pc
Advocate Healthcare
Roman Orest Kozyckyj
Chicago Podiatry Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
44

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-02-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois