Active NPI
William Frymark, MD
- Surgery Physician
- La Grange Highlands, IL
National Provider Identifier
1306895792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 36058046
- Practice address
- 5201 Willow Springs Rd
Suite 290
La Grange Highlands, IL 60525-6537 - Phone
- (708) 579-0018
- Fax
- (708) 354-0264
- NPI assigned
- May 10, 2006
- Last updated
- Mar 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 36058046 | IL | Primary |
Addresses
Primary practice location
5201 Willow Springs Rd
Suite 290
La Grange Highlands, IL 60525-6537
Mailing address
5201 Willow Springs Rd
Suite 290
La Grange Highlands, IL 60525-6537
Phone (708) 579-0018
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403270 | Other | GROUP MEDICARE PTAN | |
| 036058046 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36058046 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Chicago | Past | Accepting new patients | |
| Adventist Health Partners, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1952339939
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1821048786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1306895792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD",
"address_2": "SUITE 290",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256537",
"telephone_number": "708-579-0018",
"fax_number": "708-579-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 WILLOW SPRINGS RD",
"address_2": "SUITE 290",
"city": "LA GRANGE HIGHLANDS",
"state": "IL",
"postal_code": "605256537",
"telephone_number": "708-579-0018",
"fax_number": "708-354-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYMARK",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "36058046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PTAN",
"identifier": "403270",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036058046",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Grange Highlands, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.