Individual
CARLTON FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4140 W GRENSHAW ST APT 1, CHICAGO, IL 60624-3909
(773) 823-1645
Mailing address
PO BOX 241191, CHICAGO, IL 60624-1191
(773) 818-2820
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
374U00000X
IL
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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