Fredricks, Jenise

Fredricks, Jenise is an individual health care provider with primary practice located at 2744 W 94Th St , Evergreen Park IL 60805-2519. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Fredricks, Jenise can be contacted via phone (773) 849-4500.

Contact Information

Primary practice address
2744 W 94Th St Evergreen Park IL 60805-2519
Phone: (773) 849-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1326703703
LBN Legal business name Fredricks, Jenise
Credentials DT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2021
Last updated Nov 1st, 2021 - about 4 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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