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Individual

JOSEPH WILLIAM FRESCURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7447 W TALCOTT AVE STE 221, CHICAGO, IL 60631-3713
(630) 866-3636
Mailing address
7447 W TALCOTT AVE STE 221, CHICAGO, IL 60631-3713
(630) 866-3636
(773) 692-2035

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085010212
IL
363AM0700X
Medical Physician Assistant
10004416A
IN

Other

Enumeration date
11/04/2022
Last updated
08/21/2024
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