Active NPI
Matthew Frazier, D.O.
- General Practice Physician
- Glenview, IL
National Provider Identifier
1366802365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036129522
- Practice address
- 2305 Central Rd
Glenview, IL 60025-4270 - Phone
- (847) 730-4329
- NPI assigned
- Mar 3, 2016
- Last updated
- Mar 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 036129522 | IL | Primary |
Addresses
Primary practice location
2305 Central Rd
Glenview, IL 60025-4270
Mailing address
2305 Central Rd
Glenview, IL 60025-4270
Phone (847) 730-4329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036129522 | IL | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458086400000",
"number": "1366802365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 CENTRAL RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600254270",
"telephone_number": "847-730-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 CENTRAL RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600254270",
"telephone_number": "847-730-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "MATTHEW",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-03",
"last_updated": "2016-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036129522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.