Provider Demographics
NPI:1447375472
Name:RATIO, FREDERIC JUDE (DC)
Entity type:Individual
Prefix:DR
First Name:FREDERIC
Middle Name:JUDE
Last Name:RATIO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 WALNUT AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-4073
Mailing Address - Country:US
Mailing Address - Phone:630-719-9700
Mailing Address - Fax:
Practice Address - Street 1:5201 WALNUT AVE STE 2
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4073
Practice Address - Country:US
Practice Address - Phone:630-719-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008648111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02226022OtherBCBS
IL3643190310002OtherCIGNA
ILU75403Medicare UPIN
IL3643190310002OtherCIGNA