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Individual

KELSEY JORDAN FRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1203 W AUGUSTA BLVD STE 1, CHICAGO, IL 60642-4327
(773) 248-2255
Mailing address
258A UNIVERSITY LN, ELK GROVE VILLAGE, IL 60007-2790
(815) 600-2719

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1952937104
IL

Other

Enumeration date
09/12/2023
Last updated
09/12/2023
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