IndividualActive
Frederick Kist
NPI 1366450769 · Contractor · Inverness, IL
Provider details
- NPI number
- 1366450769
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Practice location
1615 Pheasant Trl
Inverness, IL 60067-4619
Phone: (847) 358-6526
Fax: (847) 358-6536
Mailing address
1615 Pheasant Trl
Inverness, IL 60067-4619
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.