Search › Illinois › 163W00000X
Sally Fricke
NPI 1770021271 · on the registry since 2017 · sole proprietor
Practice
- Address
- 7520 Larwinn Dr
Rockford, IL 61107 - Phone
- (815) 218-4869
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-02-03
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