Individual
DR. MARK FREDERICK FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
139 WEST RAND RD., ARLINGTON HEIGHTS, IL 60004-3982
(847) 259-8583
(847) 259-8935
Mailing address
139 W. RAND RD., ARLINGTON HEIGHTS, IL 60004-3985
(847) 259-8583
(847) 259-8935
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071003590
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1673206
BLUE CROSS BLUE SHIELD
IL
01
—
680010989
RAILROAD MEDICARE
IL
Enumeration date
05/31/2006
Last updated
11/12/2008
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