Individual
DR. ANASTASIA CISNEROS-FRAUSTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4225 MAIN ST, SKOKIE, IL 60076-2046
(847) 676-3338
Mailing address
558 STERLING RD, KENILWORTH, IL 60043-1067
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01069038A
IN
208600000X
Surgery Physician
Primary
036129020
IL
208600000X
Surgery Physician
125052071
IL
Other
Enumeration date
06/05/2007
Last updated
10/10/2011
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