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

MS. Deandrea Denise Fedrick, TVI

Individual provider Developmental Therapist · NPI 1053602086

MS. Deandrea Denise Fedrick, TVI is a Developmental Therapist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
Specialties on file
2

Practice location Address checks out

11400 S Ada St
Chicago, IL 60643-4428
Phone: (773) 954-4997
Show map & directions

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

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (IL)
Early Intervention Provider Agency Taxonomy 252Y00000X

Record details

NPI number1053602086
Entity typeIndividual (Type 1)
GenderFemale
Credentials TVI
Sole proprietorYes
NPI enumeratedApril 25, 2011
Last updated in NPPESApril 25, 2011

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