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MS. WENDY A FREDERICK PA-C
NPI 1811198690
Physician Assistant in Libertyville, IL

Active since May 30, 2007
904 S MILWAUKEE AVE STE B, LIBERTYVILLE, IL 60048(847) 990-7220(847) 984-2597 Get Directions Write a Review

NPPES record last updated: November 30, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2018, Mar 2, 2016 (2 updates tracked since 2016).

About Ms. Wendy A Frederick Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. WENDY A FREDERICK PA-C (NPI 1811198690) is an individual physician assistant in Libertyville, Illinois, licensed in Illinois (085002199) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1811198690
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. WENDY A FREDERICKCredential: PA-C
Location Address904 S MILWAUKEE AVE STE BLibertyville, IL 60048-3215
Mailing Address831 Amelia CtGrayslake, IL 60030-3373 · (847) 223-2218
Phone(847) 990-7220
Fax(847) 984-2597
Sole ProprietorNo
Enumeration DateMay 30, 2007
Last NPPES UpdateNovember 30, 20182 updates tracked since enumeration
✔ NPI 1811198690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085002199
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
904 S MILWAUKEE AVE STE B, Libertyville, IL 60048
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KERRI ANN KULOVITZ D.O.
Orthopaedic Surgery
904 S MILWAUKEE AVE STE B
LIBERTYVILLE, IL 60048
Lake County (847) 303-5790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wendy Frederick's NPI number?

The NPI number for Wendy Frederick is 1811198690. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Where is Wendy Frederick located?

Wendy Frederick practices at 904 S Milwaukee Ave Ste B, Libertyville, IL 60048. The listed phone number is (847) 990-7220.

What is Wendy Frederick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Wendy Frederick was last updated on November 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.