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1891859468
FREDERIC MARK ETTNER
LINCOLNWOOD, IL
NPI
1891859468
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 0136053752)
Enumeration Date
2006-12-20
Last Update Date
2016-11-15
Business Address
Dr. FREDERIC MARK ETTNER M.D.
7126 N LINCOLN AVE
LINCOLNWOOD, IL 60712-2234
Phone number: 847-733-2229
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Mailing Address
Dr. FREDERIC MARK ETTNER M.D.
7126 N LINCOLN AVE
LINCOLNWOOD, IL 60712-2234
Phone number: 847-733-2229
Copy
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