Howard Clark Federer III M.D.

NPI 1023039674 - Surgery - 208600000X

NPI Details
NPI 1023039674
Gender Male
Enumeration Date 07/21/2006
Last Updated 03/02/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2740 W FOSTER AVE
SUITE 213
CHICAGO IL, 60625-3500, US
Phone (773) 293-4001
Fax (773) 293-3203
Business Location
2740 W FOSTER AVE
LL7
CHICAGO IL, 60625-3500, US
Phone (773) 878-8200
Fax (773) 293-4197
Toxanomy
Taxonomy Code 208600000X
License State Illinois
License Number 036072388
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According to our database, Dr. Howard Clark Federer III M.D. NPI is 1023039674, taxonomy code is 208600000X and license number is 036072388, license state is located at Illinois. Howard Clark Federer III M.D. physically located at 2740 W Foster Ave, Chicago IL, 60625-3500. NPI Number Howard Clark Federer III M.D. has the Individual type.

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1023039674 NPI number is provided on an as is basis without warranty of any kind. 1023039674 is maintained by the National Plan & Provider Enumeration System. The contents of Howard Clark Federer III M.D. are for informational purposes only.