Individual
WILLIAM A FRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 W TAYLOR ST, SUITE 2E, CHICAGO, IL 60612-4795
(312) 996-7416
Mailing address
840 S WOOD ST, M/C 856, CHICAGO, IL 60612-4325
(312) 413-1884
(312) 413-0243
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036113073
IL
208000000X
Pediatrics Physician
54693
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113073
—
IL
05
—
1841340882
—
WI
Enumeration date
01/11/2007
Last updated
12/11/2012
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