NPI 1073122016

Ann Frederickson, RDHBSDH

Practitioner Dental Hygienist Evergreen Park, IL

Practice location

Address: 9851 S Homan Ave, Evergreen Park, IL 60805-3041
Phone: (708) 203-8046

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020.009503 (IL)

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Registry record

NPI: 1073122016
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2020
Record last updated: 27 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.