RICHARD C FREDERICK

PEORIA, IL
NPI1740211002
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2006-07-05
Last Update Date2007-07-09
Business Address
RICHARD C FREDERICK M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2553
Mailing Address
RICHARD C FREDERICK M.D.
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-2000