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1427358530
LINDA LOUISE FREDERICK
MAYWOOD, IL
NPI
1427358530
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Former Name
LINDA JOHNSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085.004552)
Enumeration Date
2010-10-25
Last Update Date
2022-02-03
Business Address
Mrs. LINDA LOUISE FREDERICK PA-C
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 608-334-1252
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Mailing Address
Mrs. LINDA LOUISE FREDERICK PA-C
675 W NORTH AVE STE 201
MELROSE PARK, IL 60160-1665
Phone number: 708-538-5900
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