Frederiksen, James

Frederiksen, James is an individual health care provider with primary practice located at 675 N Saint Clair St Galter, Suite 19-012, Chicago IL 60611-5975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Frederiksen, James can be contacted via phone (312) 695-2885.

Contact Information

Primary practice address
675 N Saint Clair St Galter, Suite 19-012 Chicago IL 60611-5975
Phone: (312) 695-2885
Fax: (312) 695-2461
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 36057651 Illinois

Profile Details

NPI number 1174676787
LBN Legal business name Frederiksen, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174676787 NPPES
Illinois Other L035691-EA08 CHAMPUSTRICARE

Popular Providers