Individual
DR. WILLIAM FRYMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 WILLOW SPRINGS RD, SUITE 290, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 579-0018
(708) 354-0264
Mailing address
5201 WILLOW SPRINGS RD, SUITE 290, LA GRANGE HIGHLANDS, IL 60525-6537
(708) 579-0018
(708) 579-7571
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36058046
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058046
—
IL
01
—
403270
GROUP MEDICARE PTAN
—
Enumeration date
05/10/2006
Last updated
03/18/2015
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