| Fraden Inc | |
|
1770 First Street Suite 330 Highland Park IL 60035-2538 | |
| (847) 433-8065 | |
| (847) 433-8447 |
| Full Name | Fraden Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1770 First Street, Highland Park, Illinois |
| Authorized Official Name and Position | Denise Walt (PRES) |
| Authorized Official Contact | 8474338065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fraden Inc 1770 1st St Suite 330 Highland Park IL 60035-3200 Ph: (847) 433-8065 | Fraden Inc 1770 First Street Suite 330 Highland Park IL 60035-2538 Ph: (847) 433-8065 |
| NPI Number | 1851623342 |
|---|---|
| Provider Enumeration Date | 02/08/2010 |
| Last Update Date | 11/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851623342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 036084112 (Illinois) | Primary |
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