Fredricksen, John

Fredricksen, John is an sole proprietor health care provider with primary practice located at 9606 S Cicero Ave , Oak Lawn IL 60453-3102. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fredricksen, John can be contacted via phone (708) 636-2525.

Contact Information

Primary practice address
9606 S Cicero Ave Oak Lawn IL 60453-3102
Phone: (708) 636-2525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1487661997
LBN Legal business name Fredricksen, John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 19 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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