Individual
JULIA MARIE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 620-4433
(630) 620-1148
Mailing address
5726 ELM ST, LISLE, IL 60532-2726
(630) 390-8166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012334
IL
235Z00000X
Speech-Language Pathologist
242.002763
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146.012334
SPEECH-LANGUAGE PATHOLOGIST LICENSE
IL
Enumeration date
09/23/2013
Last updated
02/25/2019
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