LINDA LOUISE FREDERICK

MAYWOOD, IL
NPI1427358530
Former NameLINDA JOHNSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085.004552)
Enumeration Date2010-10-25
Last Update Date2022-02-03
Business Address
Mrs. LINDA LOUISE FREDERICK PA-C
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 608-334-1252
Mailing Address
Mrs. LINDA LOUISE FREDERICK PA-C
675 W NORTH AVE STE 201
MELROSE PARK, IL 60160-1665
Phone number: 708-538-5900