Individual
DR. JOEL EDWARD FRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, GENERAL ACADEMIC PEDS, LURIE CHILDREN'S HOSPITAL #16, CHICAGO, IL 60611-2605
(312) 227-6111
(312) 227-9418
Mailing address
225 E CHICAGO AVE, GENERAL ACADEMIC PEDS, LURIE CHILDREN'S HOSPITAL #16, CHICAGO, IL 60611-2605
(312) 227-6111
(312) 227-9418
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036095327
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095327
—
IL
Enumeration date
03/10/2006
Last updated
08/06/2012
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