Frazier, Mark Frederick

Frazier, Mark Frederick is an individual health care provider with primary practice located at 139 West Rand Rd. , Arlington Heights IL 60004-3982. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Frazier, Mark Frederick can be contacted via phone (847) 259-8583.

Contact Information

Primary practice address
139 West Rand Rd. Arlington Heights IL 60004-3982
Phone: (847) 259-8583
Fax: (847) 259-8935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071003590 Illinois

Profile Details

NPI number 1679510796
LBN Legal business name Frazier, Mark Frederick
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Nov 12th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679510796 NPPES
Illinois Other 1673206 BLUE CROSS BLUE SHIELD
Illinois Other 680010989 BLUE CROSS BLUE SHIELD

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