Individual
MELISSA FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
675 N SAINT CLAIR ST, CHICAGO, IL 60611-5975
(312) 695-9797
Mailing address
1001 MAIN ST, STE 300, PEORIA, IL 61606-2036
(309) 495-0260
(309) 495-0276
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085002046
IL
Other
Enumeration date
07/09/2006
Last updated
10/11/2018
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