JOHN FREDRICKSEN

OAK LAWN, IL
NPI1487661997
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019018176)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
Dr. JOHN FREDRICKSEN DDS
9606 S CICERO AVE
OAK LAWN, IL 60453-3102
Phone number: 708-636-2525
Mailing Address
Dr. JOHN FREDRICKSEN DDS
9606 S CICERO AVE
OAK LAWN, IL 60453-3102
Phone number: 708-636-2525