Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1114035359 Deactivated / Inactive NPI Male Practitioner

Dr. Earl E Fredrick , MD

Internal Medicine • Chicago, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Earl Fredrick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2006
NPI Deactivation Date March 02, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Earl Fredrick, MD was a registered Internal Medicine practicing in Chicago, IL. Throughout an active medical career spanning 12 years, Dr. Fredrick provided care at the practice location at 9718 S HALSTED ST until profile deactivation on 2018-03-02.

Practice Location & Contact Primary Location

Practice Address

9718 S Halsted St

Chicago, IL 606281007

Telephone 7732334100
Fax 7732338542
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.8 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
2969 Specialists

Practicing in Chicago, IL (7544 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036036305

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Linna Mukamusoni , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023720133

Nurse Practitioner

Myra Sikwata , FNP-C

Nurse Practitioner - Family

NPI 1083111777

Family Nurse Practitioner (Certified)

Dr. Senora Nelson , MD

General Practice

NPI 1093855835

Doctor of Medicine (M.D.)

Alisha Fuller , LPC

Counselor - Professional

NPI 1124653613

Licensed Professional Counselor

Rukayat Omolabi

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134887623
Oluwaseun Kayode , FNP-C

Nurse Practitioner - Family

NPI 1275308801

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 02, 2018

Record deactivated on March 02, 2018

NPI Profile Active April 22, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 22, 2013

Registered at 9718 S HALSTED ST, CHICAGO, IL 606281007 (Tel: 7732334100)

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Updated Business Mailing Address April 22, 2013

Registered at 9718 S HALSTED ST, CHICAGO, IL 606281007 (Tel: 7732334100)

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Provider Name / Credentials Updated April 22, 2013

Recorded as EARL FREDRICK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2013

Internal Medicine (License #036036305 in IL)

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Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114035359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2006
Last Update: April 22, 2013
Deactivation Date: March 02, 2018

Mailing Address

9718 S Halsted St

Chicago, IL 606281007

Phone: 7732334100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.