Frese, Mary Kienstra

Frese, Mary Kienstra is an individual health care provider with primary practice located at 2244 Henley St , Glenview IL 60025-4162. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Frese, Mary Kienstra can be contacted via phone (314) 448-9169.

Contact Information

Primary practice address
2244 Henley St Glenview IL 60025-4162
Phone: (314) 448-9169
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X IN PROGRESS Illinois

Profile Details

NPI number 1336569813
LBN Legal business name Frese, Mary Kienstra
Credentials DT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2014
Last updated Apr 23rd, 2014 - about 11 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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