SearchIllinois106S00000X

Tyeshia Fredericks

NPI 1023874492 · on the registry since 2024

Practice

Address
11954 S Kildare Ave Apt 1e
Alsip, IL 60803
Phone
(773) 960-8783

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Female
Record last updated
2024-02-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois