ANN FREDERICKSON

EVERGREEN PARK, IL
NPI1073122016
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020.009503)
Enumeration Date2020-07-27
Last Update Date2020-07-27
Business Address
ANN FREDERICKSON RDH, BSDH
9851 S HOMAN AVE
EVERGREEN PARK, IL 60805-3041
Phone number: 708-203-8046
Mailing Address
ANN FREDERICKSON RDH, BSDH
9851 S HOMAN AVE
EVERGREEN PARK, IL 60805-3041
Phone number: 708-203-8046
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