Fedrick, Deandrea Denise

Fedrick, Deandrea Denise is an sole proprietor health care provider with primary practice located at 11400 S Ada St , Chicago IL 60643-4428. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Agencies / Early Intervention Provider Agency. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Fedrick, Deandrea Denise can be contacted via phone (773) 954-4997.

Contact Information

Primary practice address
11400 S Ada St Chicago IL 60643-4428
Phone: (773) 954-4997
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X Illinois
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1053602086
LBN Legal business name Fedrick, Deandrea Denise
Credentials TVI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2011
Last updated Apr 25th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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