NPI 1639391006

Jamie Lynn Frey, MD

Practitioner Dermatology Physician Peoria, IL

Practice location

Address: 5401 N Knoxville Ave Suite 115, Peoria, IL 61614-5098
Phone: (309) 691-2903
Fax: (309) 691-2909

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 036124992 (IL)

Other Dermatology providers in Illinois →

Registry record

NPI: 1639391006
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 15 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.