Search › Indiana › 208M00000X
John Frederick, M.D
NPI 1598027153 · on the registry since 2012
Practice
- Address
- 24 Joliet St
Dyer, IN 46311 - Phone
- (219) 865-2141
- Organisation at this address
- Kidanu Birhanu Md Sc
Regions Medical Group Llc
Franciscan St Margaret Health
Ronald E. Jamerson, M.D.,P.C.
Franciscan Health Dyer & HammondInferred from a shared address, not stated in the registry. - Clinicians at this address
- 100
Additional practice sites
- 2525 S Michigan Ave, Chicago, IL
- 2525 S Michigan Ave, Chicago, IL
Registry record
- Primary taxonomy
- 208M00000X
208M00000X
- Also registered as
- 207R00000X
207R00000X
390200000X - Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-19
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 Indiana