Organization
ASPEN BEHAVIORAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK FREDERICK FRAZIER PSY.D. (DIRECTOR)
(847) 259-8583
Entity
Organization
Contact information
Practice address
3233 N ARLINGTON HEIGHTS RD STE 100, ARLINGTON HTS, IL 60004-1557
(847) 259-8583
(847) 259-8935
Mailing address
3233 N ARLINGTON HEIGHTS RD STE 100, ARLINGTON HTS, IL 60004-1557
(847) 259-8583
(847) 259-8935
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21623169
BLUE CROSS BLUE SHIELD
IL
01
—
7604241
AETNA PROVIDER NUMBER
IL
01
—
789710000
MAGELLAN PROVIDER NUMBER
IL
Enumeration date
05/26/2006
Last updated
09/09/2020
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