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

Jamie Lynn Frey, MD

Individual provider Dermatology Physician · NPI 1639391006

Jamie Lynn Frey, MD is a Dermatology in Peoria, Illinois. Graduated from Creighton University School of Medicine in 2006, 20 years ago. Practices with Central Illinois Dermatology SC, a 5-clinician group. Licensed in Illinois.

Years since qualifying
20
Trained at
Creighton University School of Medicine
Licensed in
IL
In the registry since
2007
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

5401 N Knoxville Ave Ste 115
Peoria, IL 61614-5098
Phone: (309) 691-2903
Fax: (309) 691-2909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 036124992 (IL)

Record details

NPI number1639391006
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 15, 2010

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Central Illinois Dermatology Sc — 5 clinicians
Accepts Medicare assignment Not indicated

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