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

Stacey Lynn Fredericks

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023360989

Stacey Lynn Fredericks is a Student in an Organized Health Care Education/Training Program in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
2

Practice location Address checks out

4700 W 95th St Ste 205
Oak Lawn, IL 60453-2574
Phone: (708) 684-7999
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.025334 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1023360989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 2, 2012
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address4700 W 95th St Ste 205, Oak Lawn, IL 60453-2574

Other providers in Oak Lawn