Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERIC MARK ETTNER, M.D.
Active Sole ProprietorDR. FREDERIC MARK ETTNER, M.D. is a Family Medicine healthcare provider located in LINCOLNWOOD, Illinois. NPI 1891859468 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LINCOLNWOOD, IL
Registration Details
- NPI Number
- 1891859468
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 20, 2006 (19.463629356775 yrs)
- Last Updated
- Nov 15, 2016
- License
-
0136053752 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7126 N LINCOLN AVELINCOLNWOOD, IL, 607122234Browse IL providers · Browse ZIP 60712
- Phone
- 8477332229
- Fax
- 8477331528
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LINCOLNWOOD, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ANA D GAVRILOVICI | M.D. | 1144220864 |
| YOGESH PARIKH | MD | 1104818657 |
| SOLOMON M YIGAZU | MD | 1376539221 |
| DR. JC CHAVA ZIMMERMAN | MD | 1023056066 |
| REBECCA LEA WEISS-COLEMAN | M.D. | 1851330476 |
| ROBERT M WOLFE | M.D. | 1730128356 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.