Individual
ASHLEY FRATELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
Mailing address
PO BOX 153, CHANNAHON, IL 60410-0153
(630) 324-7900
(630) 324-7946
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036163661
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD-52106
IA
Other
Enumeration date
01/30/2014
Last updated
04/19/2024
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