Provider Demographics
NPI:1821830332
Name:FRITTON, ROXANNE
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:FRITTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ROXANNE
Other - Middle Name:
Other - Last Name:KIEME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4923 N LOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60630-2637
Mailing Address - Country:US
Mailing Address - Phone:734-355-2386
Mailing Address - Fax:
Practice Address - Street 1:4923 N LOWELL AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60630-2637
Practice Address - Country:US
Practice Address - Phone:734-355-2386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-07
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical