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Individual

ABRAHAM RAMY FRENKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7317 N WILLOW LAKE CT, PEORIA, IL 61614-8260
(309) 683-7373
(309) 691-4408
Mailing address
7317 N WILLOW LAKE CT, PEORIA, IL 61614-8260
(309) 683-7373
(309) 691-4408

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036101542
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036101542
IL
01
809840
MEDICARE GROUP #
01
CA4079
RR GROUP #
01
P00424276
RR INDIVIDUAL #
Enumeration date
09/29/2006
Last updated
02/22/2016
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