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NPI 1073122016

IndividualActive

Ann Frederickson, RDH, BSDH

NPI 1073122016 · Dental Hygienist · Evergreen Park, IL

Provider details

NPI number: 1073122016
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: RDH, BSDH
Sex: Female
Sole proprietor: No
License: 020.009503 (IL)

Practice location

9851 S Homan Ave

Evergreen Park, IL 60805-3041

Phone: (708) 203-8046

More IL providers

Mailing address

9851 S Homan Ave

Evergreen Park, IL 60805-3041

Registry dates

Enumerated: 2020-07-27
Last updated: 2020-07-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Ann Frederickson, RDH, BSDH — NPI 1073122016, Evergreen Park, IL | NPI Central