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Macy Frederick

NPI 1689331605 · on the registry since 2021 · sole proprietor

Practice

Address
359 Cedar St
Aurora, IL 60506
Phone
(641) 638-8044
Fax
(331) 319-3990

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-02

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