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Search › Illinois › General Practice Dentistry

John Fredricksen, DDS

NPI 1487661997 · on the registry since 2006 · sole proprietor

Practice

Address
9606 S Cicero Ave
Oak Lawn, IL 60453
Phone
(708) 636-2525

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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