Frederickson, Ann

Frederickson, Ann is an individual health care provider with primary practice located at 9851 S Homan Ave , Evergreen Park IL 60805-3041. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Frederickson, Ann can be contacted via phone (708) 203-8046.

Contact Information

Primary practice address
9851 S Homan Ave Evergreen Park IL 60805-3041
Phone: (708) 203-8046
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 020.009503 Illinois

Profile Details

NPI number 1073122016
LBN Legal business name Frederickson, Ann
Credentials RDH, BSDH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2020
Last updated Jul 27th, 2020 - about 5 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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