Organization
FRADEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WALT MD (PRES)
(847) 433-8065
Entity
Organization
Contact information
Practice address
1770 FIRST STREET, SUITE 330, HIGHLAND PARK, IL 60035-2538
(847) 433-8065
(847) 433-8447
Mailing address
1770 1ST ST, SUITE 330, HIGHLAND PARK, IL 60035-3200
(847) 433-8065
(847) 433-8447
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036084112
IL
Other
Enumeration date
02/08/2010
Last updated
11/17/2015
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