Organization
AXIAL FROST CLINIC IL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE P HEYWOOD (SECRETARY)
(615) 231-8560
Entity
Organization
Contact information
Practice address
25 E WASHINGTON ST STE 1615, CHICAGO, IL 60602-1882
(312) 967-9678
Mailing address
209 10TH AVE S STE 350, NASHVILLE, TN 37203-4166
(615) 345-3555
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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