Fraser, M. Teresa C.

Fraser, M. Teresa C. is an individual health care provider with primary practice located at 1701 W. Garden Street , Peoria IL 61605-3531. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Fraser, M. Teresa C. can be contacted via phone (309) 680-7600.

Contact Information

Primary practice address
1701 W. Garden Street Peoria IL 61605-3531
Phone: (309) 680-7600
Fax: (309) 680-7637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-088897 Illinois

Profile Details

NPI number 1093928566
LBN Legal business name Fraser, M. Teresa C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Aug 9th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093928566 NPPES
Illinois MEDICAID 036088897
Illinois Other 809840

Popular Providers