Organization
BRUCE FRAZIN MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE EDWARD FRAZIN MD (PHYSICIAN)
(847) 249-0850
Entity
Organization
Contact information
Practice address
1616 GRAND AVENUE, WAUKEGAN, IL 60085
(847) 249-0850
(847) 623-0505
Mailing address
1616 GRAND AVENUE, SUITE A, WAUKEGAN, IL 60085
(847) 249-0850
(847) 623-0505
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
03639794
IL
Other
Enumeration date
01/18/2007
Last updated
03/02/2010
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