Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Frederic Mark Ettner, MD

Individual provider Family Medicine Physician · NPI 1891859468

Dr. Frederic Mark Ettner, MD is a General Practice in Lincolnwood, Illinois. Graduated from Chicago College of Medicine and Surgery in 1975, 51 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
51
Trained at
Chicago College of Medicine and Surgery
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7126 N Lincoln Ave
Lincolnwood, IL 60712-2234
Phone: (847) 733-2229
Fax: (847) 733-1528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0136053752 (IL)

Record details

NPI number1891859468
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 20, 2006
Last updated in NPPESNovember 15, 2016
Mailing address7126 N Lincoln Ave, Lincolnwood, IL 60712-2234

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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