Individual
DEBORAH FROGAMENI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5215 N CALIFORNIA AVE, CHICAGO, IL 60625-7014
(312) 666-3494
(312) 666-6228
Mailing address
1701 W SUPERIOR ST, CHICAGO, IL 60622-5646
(312) 666-3494
(312) 666-6228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-021744
IL
1223G0001X
General Practice Dentistry
30-018017
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019021744
—
IL
01
—
10246
GROUP PARAMOUNT ID
OH
01
—
109100
DORAL DENTAL
OH
05
—
2219281
—
OH
01
—
600972
BUCKEYE GROUP ID
OH
05
—
8822331
—
OH
01
—
88333OH
DELTA DENTAL
OH
Enumeration date
06/30/2006
Last updated
11/21/2018
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