Individual
LEE WILLIAM FRUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1161 W. HARRISON ST, STE: 400, CHICAGO, IL 60612
(312) 432-2300
(708) 409-5179
Mailing address
1-1528 29TH AVENUE SW, CALGARY, ALBERTA T2T I-M3
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
036.158462
IL
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
125.077332
IL
Other
Enumeration date
06/14/2021
Last updated
10/26/2021
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