Search › Illinois › 124Q00000X
Ann Frederickson, RDH, BSDH
NPI 1073122016 · on the registry since 2020
Practice
- Address
- 9851 S Homan Ave
Evergreen Park, IL 60805 - Phone
- (708) 203-8046
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois