Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenise Fredricks, DT

Individual provider Developmental Therapist · NPI 1326703703

Jenise Fredricks, DT is a Developmental Therapist in Evergreen Park, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

2744 W 94th St
Evergreen Park, IL 60805-2519
Phone: (773) 849-4500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1326703703
Entity typeIndividual (Type 1)
GenderFemale
Credentials DT
Sole proprietorNo
NPI enumeratedNovember 1, 2021
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021
Mailing address2744 W 94th St, Evergreen Park, IL 60805-2519

Other providers in Evergreen Park