Provider Type Icon

SARA JANE FREDRICKSON MD NPI 1922066380


NPI Information

NPI: 1922066380
Provider Name: SARA JANE FREDRICKSON, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
473 W ARMY TRAIL RD
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 307-7799
Get Directions

Sara Jane Fredrickson, MD is a surgery in Bloomingdale, IL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Sara Jane Fredrickson, MD NPI is 1922066380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

473 W ARMY TRAIL RD
BLOOMINGDALE, IL
ZIP 60108-674
Phone: (630) 307-7799
Fax: (630) 307-2277

The enumeration date for this NPI number is 5/3/2006 and was last updated on 1/3/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery036076758ILLINOISYes
22086X0206XSurgerySurgical Oncology036076758ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036076758MEDICAIDILLINOIS
2206147220OTHERILLINOISMEDICARE (INDIVIDUAL PTAN)
32215516OTHERILLINOISBLUE CROSS BLUE SHIELD
44062703OTHERILLINOISAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.