Individual
AL J FRAISER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CST CFA
Contact information
Practice address
71 W 156TH ST, STE 208, HARVEY, IL 60426
(708) 331-6669
(708) 333-9902
Mailing address
4501 N WINCHESTER AVE, 3RD FL, CHICAGO, IL 60640
(773) 250-0500
(773) 250-0497
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
IL
Other
Enumeration date
06/01/2006
Last updated
07/08/2007
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