Fredrickson, Sara Jane

Fredrickson, Sara Jane is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Fredrickson, Sara Jane can be contacted via phone (630) 307-7799.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Phone: (630) 307-7799
Fax: (630) 307-2277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 036076758 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036076758 Illinois

Profile Details

NPI number 1922066380
LBN Legal business name Fredrickson, Sara Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jan 3rd, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922066380 NPPES
Illinois Other 4062703 AETNA
Illinois MEDICAID 036076758 AETNA
Illinois Other 206147220 AETNA
Illinois Other 2215516 AETNA

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