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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENISE FREDRICKS, DT

Active

JENISE FREDRICKS, DT is a Developmental Therapist healthcare provider located in EVERGREEN PARK, Illinois. NPI 1326703703 is currently active in the NPPES registry. Verify at CMS.

Developmental Therapist · EVERGREEN PARK, IL

Registration Details

NPI Number
1326703703
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2021 (4.7698974087878 yrs)
Last Updated
Nov 1, 2021

Practice Information

Address
2744 W 94TH ST
EVERGREEN PARK, IL, 608052519
Browse IL providers · Browse ZIP 60805
Phone
7738494500
Primary Specialty
Developmental Therapist
222Q00000X

Other Developmental Therapist Providers in EVERGREEN PARK, IL

Name Credential NPI
MRS. MEGAN RADON 1649503905
MS. COLLEEN MARIE COLEMAN 1104114867
MRS. PATRICIA NEWELL 1265795363
MISS COLLEEN HELEN CAREY 1376954057
MS. PENNY M ZEILNER 1770100265
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.